Individual provider Active NPI

Clinton Allan Rathje, DO

  • Surgery Physician
  • Lincoln, NE
National Provider Identifier
1699039826
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1636 Issued in NE
Practice address
1101 S 70TH St Ste 100
Lincoln, NE 68510-4293
Phone
(402) 483-4292
Fax
(855) 895-6489
NPI assigned
Jul 3, 2012
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 1636 NE Primary

Addresses

Primary practice location

1101 S 70TH St Ste 100
Lincoln, NE 68510-4293

Mailing address

1101 S 70TH St Ste 100
Lincoln, NE 68510-4293
Phone (402) 483-4292

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
I20170710002042 NE Practitioner - General Surgery 0244487684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Surgery Associates LLCGroup PAC ID 5092741330, 12 clinicians

Practice addresses (Care Compare)

1101 S 70TH St
Suite 100
Lincoln, NE 68510-4293
Phone (402) 483-4292

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy35
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)21
Upper gastrointestinal (GI) endoscopy for acid reflux22
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
General Surgery Associates, LLC Surgery CurrentSince Aug 1, 2017 Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

1101 S 70th St
Ste 100
Lincoln, NE 68510
Phone (402) 483-2905

Interoperability endpoints

  • Direct secure messaging: clint.rathje.1@8817.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8817/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 7

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1699039826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S 70TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104293",
            "telephone_number": "402-483-4292",
            "fax_number": "855-895-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S 70TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104293",
            "telephone_number": "402-483-4292",
            "fax_number": "855-895-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHJE",
        "first_name": "CLINTON",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "1636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.