Active NPI
Stephen M Titus, M.D.
- Family Medicine Physician
- Omaha, NE
National Provider Identifier
1598851180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12307
- Practice address
- 12728 Augusta Avenue
Omaha, NE 68144-3754 - Phone
- (402) 330-1410
- NPI assigned
- Oct 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12307 | NE | Primary |
Addresses
Primary practice location
12728 Augusta Avenue
Omaha, NE 68144-3754
Mailing address
12728 Augusta Avenue
Omaha, NE 68144-3754
Phone (402) 330-1410
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00166 | Other | NE | BLUE CROSS & BLUE SHIELD |
| 1949487 | Medicaid | IA | |
| 100412 | Other | UNITED HEALTHCARE | |
| 75304640000 | Medicaid | NE | |
| 93087 | Other | IA | WELLMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598851180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12728 AUGUSTA AVENUE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443754",
"telephone_number": "402-330-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12728 AUGUSTA AVENUE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443754",
"telephone_number": "402-330-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITUS",
"first_name": "STEPHEN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "12307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "00166",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1949487",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "100412",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "75304640000",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "93087",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.