Individual provider Active NPI

Daniel Alejandro Crespo Artunduaga, MD

  • Neurology Physician
  • Lincoln, NE
National Provider Identifier
1679068530
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35383 Issued in NE
Practice address
2222 S 16TH St Ste 340
Lincoln, NE 68502-3785
Phone
(402) 483-8534
Fax
(402) 483-8531
NPI assigned
Jun 24, 2018
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 76915 WI
Neurology Physician 2084N0400X 35383 NE Primary

Addresses

Primary practice location

2222 S 16TH St Ste 340
Lincoln, NE 68502-3785

Mailing address

2222 S 16TH St Ste 340
Lincoln, NE 68502-3785
Phone (402) 483-8534

Other identifiers 1

IdentifierTypeStateIssuer
1679068530MedicaidWI

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
I20230718001636 NE Practitioner - Neurology 2163773540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8358NEMDPharmacotherapy Pharmacist
35383NEMDNeurology Physician
76915WIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network Neurology CurrentSince Jul 1, 2023 Accepting new patients

Locations

2222 S 16th St
Ste 340
Lincoln, NE 68502
Phone (402) 483-8530

2222 S 16th St
Ste 340B
Lincoln, NE 68502

2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

Interoperability endpoints

  • Direct secure messaging: dcrespoartunduaga160913@hisp.bryanhealth.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1529798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1679068530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST STE 340",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023785",
            "telephone_number": "402-483-8534",
            "fax_number": "402-483-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST STE 340",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023785",
            "telephone_number": "402-483-8534",
            "fax_number": "402-483-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO ARTUNDUAGA",
        "first_name": "DANIEL",
        "middle_name": "ALEJANDRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-24",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "76915",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NE",
            "license": "35383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679068530",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.