Individual provider Active NPI

Maxwell Larweh, MD

  • Internal Medicine Physician
  • Bellevue, NE
National Provider Identifier
1538147103
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24680 Issued in NE
Practice address
12717 S 28TH Ave Ste 2
Bellevue, NE 68123-3232
Phone
(531) 201-2422
Fax
(531) 202-4242
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24680 NE Primary

Addresses

Primary practice location

12717 S 28TH Ave Ste 2
Bellevue, NE 68123-3232

Mailing address

19668 Woolworth Ave
Omaha, NE 68130-3747
Phone (503) 812-1125

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000530 NE Practitioner - Internal MedicinePractitioner - Infectious Disease 1456380542 Practice locations: Bellevue, NE

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12717 S 28TH Ave
Suite 2
Bellevue, NE 68123-3232
Phone (531) 201-2422

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24680NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consultants of Nebraska PC PastSince Mar 14, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1538147103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19668 WOOLWORTH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681303747",
            "telephone_number": "503-812-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12717 S 28TH AVE STE 2",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681233232",
            "telephone_number": "531-201-2422",
            "fax_number": "531-202-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARWEH",
        "first_name": "MAXWELL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "24680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.