Active NPI
Kurt J. Heimbrecht, M.D.
- Family Medicine Physician
- Lincoln, NE
National Provider Identifier
1497851232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28215
- Practice address
- 1601 N 86TH St
Suite 100
Lincoln, NE 68505-3713 - Phone
- (402) 327-7500
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-102944 | IL | |
| Family Medicine Physician | 207Q00000X | 28215 | NE | Primary |
Addresses
Primary practice location
1601 N 86TH St
Suite 100
Lincoln, NE 68505-3713
Mailing address
1601 N 86TH St
Suite 100
Lincoln, NE 68505-3713
Phone (402) 327-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036102944 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170921002707 | NE | Order and Referring Only - Family Practice | 1658391263 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-102944 | IL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1497851232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 N 86TH ST",
"address_2": "SUITE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685053713",
"telephone_number": "402-327-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 N 86TH ST",
"address_2": "SUITE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685053713",
"telephone_number": "402-327-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIMBRECHT",
"first_name": "KURT",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-102944",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "28215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036102944",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.