Active NPI
Kathleen McKillip, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 30827
- Practice address
- 8303 Dodge Street
Suite 250
Omaha, NE 68114 - Phone
- (402) 354-8124
- Fax
- (402) 354-8127
- NPI assigned
- Jun 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6952 | NE | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | MD.35986 | AL | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | MD-45277 | IA | |
| Pediatrics Physician | 208000000X | 6952 | NE | |
| Pediatric Hospice and Palliative Medicine Physician | 2080H0002X | MD.35986 | AL | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 30827 | NE | Primary |
Addresses
Primary practice location
8303 Dodge Street
Suite 250
Omaha, NE 68114
Mailing address
17445 Arbor Street
Suite 310
Omaha, NE 68130
Phone (402) 717-3600
Other practice location 1
1720 2nd Ave S # 201
Birmingham, AL 35294-2323
Phone (205) 934-4011
Other practice location 2
1720 2nd Ave S # 201
Birmingham, AL 35294-2323
Phone (205) 934-4011
Other practice location 3
5050 Ames Ave
Omaha, NE 68104-2323
Phone (402) 595-2280
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
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8303 Dodge St
Suite 250
Omaha, NE 68114-4108
Phone (402) 354-8124
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.35986 | AL | MD | Pediatric Hospice and Palliative Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncology Hematology West, PC | Current | Accepting new patients | |
| Oncology Hematology West, PC | Current | Accepting new patients | |
| Radiology Consultants PC | Past | Accepting new patients |
Locations
7710 Mercy Rd
Ste 1000
Omaha, NE 68124
Phone (402) 717-2500
7500 Mercy Rd
#1300
Omaha, NE 68124
Phone (402) 393-3110
8303 Dodge St
Ste 250
Omaha, NE 68114
Phone (402) 354-8124
17445 Arbor St
Ste 310
Omaha, NE 68130
Organizations & group practices 3
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.
-
- Hematology & Oncology Physician
- Omaha, NE
- NPI 1932178530
-
dba NCS Outpatient Pharmacy
- Community/Retail Pharmacy
- Omaha, NE
- NPI 1164833307
-
- Diagnostic Radiology Physician
- Omaha, NE
- NPI 1215969407
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bellevue, NE
- NPI 1588792022
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1629416177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17445 ARBOR STREET",
"address_2": "SUITE 310",
"city": "OMAHA",
"state": "NE",
"postal_code": "68130",
"telephone_number": "402-717-3600",
"fax_number": "402-343-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 DODGE STREET",
"address_2": "SUITE 250",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-354-8124",
"fax_number": "402-354-8127"
}
],
"practiceLocations": [
{
"address_1": "1720 2nd Ave S # 201",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352942323",
"country_code": "US",
"telephone_number": "205-934-4011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1720 2nd Ave S # 201",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352942323",
"country_code": "US",
"telephone_number": "205-934-4011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5050 Ames Ave",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681042323",
"country_code": "US",
"telephone_number": "402-595-2280",
"fax_number": "402-595-2293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKILLIP",
"first_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-06",
"last_updated": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "6952",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "AL",
"license": "MD.35986",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "IA",
"license": "MD-45277",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "6952",
"primary": false
},
{
"code": "2080H0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Hospice and Palliative Medicine",
"state": "AL",
"license": "MD.35986",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "NE",
"license": "30827",
"primary": true
}
],
"identifiers": [],
"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 Dec 3, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.