Individual provider Active NPI

Robert A Colligan, DPM

  • Podiatrist
  • Norfolk, NE
National Provider Identifier
1639198948
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
262 Issued in NE
Practice address
1410 N. 13TH. St.
Norfolk, NE 68702-0209
Phone
(402) 371-4690
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 262 NE Primary

Addresses

Primary practice location

1410 N. 13TH. St.
Norfolk, NE 68702-0209

Mailing address

1414 N. 13TH. St.
Norfolk, NE 68702-0209
Phone (402) 371-4690

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100227000099 NE Practitioner - Podiatry 4486799657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

2824 N 66TH Ave
Omaha, NE 68104-3928
Phone (847) 504-5000

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue3675
Removal or shaving of skin growth691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
262NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC Podiatrist CurrentSince Oct 1, 2023 Accepting new patients
Midwest OB/GYN Clinic, PC Podiatrist Current Accepting new patients
Winnebago Indian Health Service Past Accepting new patients
Siouxland Urology Associates PC Past Accepting new patients

Locations

1410 N 13th St
Norfolk, NE 68701
Phone (402) 371-0123

1414 N 13th St
Norfolk, NE 68701
Phone (402) 640-5139

2824 N 66th Ave
Omaha, NE 68104
Phone (402) 321-8995

Organizations & group practices 4

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1639198948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N. 13TH. ST.",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687020209",
            "telephone_number": "402-371-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N. 13TH. ST.",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687020209",
            "telephone_number": "402-371-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIGAN",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.