Individual provider Active NPI

Kathleen McKillip, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Omaha, NE
National Provider Identifier
1629416177
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
30827 Issued in NE
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

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180802002269 NE Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 3870724974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oncology Hematology West PCGroup PAC ID 8426030024, 56 clinicians

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

LicenseStateTypeSpecialty
MD.35986ALMDPediatric Hospice and Palliative Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology West, PC CurrentSince Nov 27, 2023 Accepting new patients
Oncology Hematology West, PC CurrentSince Nov 27, 2023 Accepting new patients
Radiology Consultants PC PastSince Dec 8, 2024 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.