Active NPI
Justin C Siebler, MD
- Orthopaedic Surgery Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 25574
- Practice address
- 4014 Leavenworth St
Omaha, NE 68105-1053 - Phone
- (402) 559-8000
- Fax
- (402) 559-8746
- NPI assigned
- Apr 22, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME103289 | FL | |
| Orthopaedic Trauma Physician | 207XX0801X | 25574 | NE | |
| Orthopaedic Surgery Physician | 207X00000X | 25574 | NE | Primary |
Addresses
Primary practice location
4014 Leavenworth St
Omaha, NE 68105-1053
Mailing address
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 329933 | Other | FL | AVMED |
| 00816000 | Medicaid | FL | |
| 9611305 | Other | FL | AETNA |
| P00822317 | Other | FL | MEDICARE RAILROAD |
| 21005 | Other | FL | BCBS |
| 3340485 | Other | FL | CIGNA |
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
- Orthopedic Surgery
- Education
- University of Nebraska College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4014 Leavenworth St
Omaha, NE 68105-1053
Phone (402) 552-7928
987400 Nebraska Medical Ctr
Unmc Physicians Nebraska Medical Center
Omaha, NE 68198-7400
Phone (402) 559-4000
Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015
Hospital & facility affiliations
- Accentcare Home Health of Nebraska
- The Nebraska Medical Center
- Crawford County Memorial Hospital
- Methodist Fremont Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Current | Accepting new patients | |
| Alegent Creighton Clinic | Past | Accepting new patients | |
| The Nebraska Medical Center | Past | Accepting new patients |
Locations
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
7710 Mercy Rd
Ste 426
Omaha, NE 68124
Phone (402) 343-8650
Interoperability endpoints
- jsiebler8609@direct.nebraskamed.com
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.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Omaha, NE
- NPI 1770004418
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1033698543
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1376498543
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
-
- Critical Access Hospital
- Denison, IA
- NPI 1578555116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1659599264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4014 LEAVENWORTH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681051053",
"telephone_number": "402-559-8000",
"fax_number": "402-559-8746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEBLER",
"first_name": "JUSTIN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-22",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME103289",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "NE",
"license": "25574",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NE",
"license": "25574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "329933",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00816000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9611305",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00822317",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "21005",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3340485",
"state": "FL"
}
],
"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 Apr 16, 2018; 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.