Active NPI
Robert Michael Kroeger, MD
- Urology Physician
- Omaha, NE
National Provider Identifier
1689677866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 15295
- Practice address
- 111 S 90TH St
Omaha, NE 68114-3907 - Phone
- (402) 397-9800
- Fax
- (402) 397-7591
- NPI assigned
- May 23, 2005
- Last updated
- Oct 10, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 15295 | NE | Primary |
| Urology Physician | 208800000X | 25983 | IA |
Addresses
Primary practice location
111 S 90TH St
Omaha, NE 68114-3907
Mailing address
111 S 90TH St
Omaha, NE 68114-3907
Phone (402) 397-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0983973 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15295 | NE | MD | Pharmacist |
| 25983 | IA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Current | Accepting new patients |
Locations
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
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.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1689677866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S 90TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143907",
"telephone_number": "402-397-9800",
"fax_number": "402-397-7591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 90TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143907",
"telephone_number": "402-397-9800",
"fax_number": "402-397-7591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROEGER",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NE",
"license": "15295",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IA",
"license": "25983",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0983973",
"state": "IA"
}
],
"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 Oct 10, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.