Individual provider Active NPI

Michael Gray Feely, M.D.

  • Rheumatology Physician
  • Omaha, NE
National Provider Identifier
1689794513
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
23638 Issued in NE
Practice address
110 N 175TH St
Suite 2000
Omaha, NE 68118-3582
Phone
(402) 596-4411
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23638 NE
Rheumatology Physician 207RR0500X 23638 NE Primary

Addresses

Primary practice location

110 N 175TH St
Suite 2000
Omaha, NE 68118-3582

Mailing address

110 N 175TH St
Suite 2000
Omaha, NE 68118-3582
Phone (402) 596-4411

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
I20081015000049 NE Practitioner - RheumatologyPractitioner - Internal Medicine 2567520869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Nebraska College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

17617 Burke St
Omaha, NE 68118-2259
Phone (402) 596-4000

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jan 1, 2015 Accepting new patients

Locations

10170 Nicholas St
Omaha, NE 68114
Phone (402) 391-3800

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

8111 Dodge St
Ste 363
Omaha, NE 68114
Phone (402) 354-8155

110 N 175th St
Ste 2000
Omaha, NE 68118
Phone (402) 596-4411

Interoperability endpoints

  • Direct secure messaging: mfeely36826@direct.nebraskamed.com

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 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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1689794513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 175TH ST",
            "address_2": "SUITE 2000",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681183582",
            "telephone_number": "402-596-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 175TH ST",
            "address_2": "SUITE 2000",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681183582",
            "telephone_number": "402-596-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEELY",
        "first_name": "MICHAEL",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "23638",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NE",
            "license": "23638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.