Organization Active NPI

Edgewood Family Physicians PC

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1508829300
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EDGEWOOD FAMILY PHYSICIANS PC
Practice address
5200 S 56TH St
Suite 2
Lincoln, NE 68516-1884
Phone
(402) 421-6200
Fax
(402) 421-6070
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael D Huffman, MDNPI 1386607182
Title
Owner/President
Phone
(402) 421-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5200 S 56TH St
Suite 2
Lincoln, NE 68516-1884

Mailing address

5200 S 56TH St Ste 2
Lincoln, NE 68516-1891
Phone (402) 421-6200

Other identifiers 1

IdentifierTypeStateIssuer
C50349OtherNERAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Michael.Huffman@1291.direct.myezyaccess.com Health Information Exchange (HIE)
Direct Messaging Address Michael.Huffman@1291.direct.myezyaccess.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080625000688 NE Part B Supplier - Clinic/Group Practice 5395816979 Receives reassigned benefits from 4 practitioners
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

5200 S 56th St
Ste 2
Lincoln, NE 68516
Phone (402) 421-6200

Interoperability endpoints

  • Direct secure messaging: michael.huffman@1291.direct.myezyaccess.com

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1508829300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 S 56TH ST STE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161891",
            "telephone_number": "402-421-6200",
            "fax_number": "402-421-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 S 56TH ST",
            "address_2": "SUITE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161884",
            "telephone_number": "402-421-6200",
            "fax_number": "402-421-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD FAMILY PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "402-421-6200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C50349",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michael.Huffman@1291.direct.myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "Edgewood Family Physicians direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5200 S 56th St Ste 2",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685161891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michael.Huffman@1291.direct.myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "Edgewood Family Physicians direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5200 S 56th St",
            "address_2": "Suite 2",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685161884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.