Active NPI
Kenneth Bernard Colaric, MD
- Emergency Medicine Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20044
- Practice address
- 7500 Mercy Rd
Alegent Health Bergan Mercy Emergency Dept
Omaha, NE 68124 - Phone
- (402) 398-6161
- Fax
- (402) 398-6982
- NPI assigned
- May 11, 2006
- Last updated
- Aug 29, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 20044 | NE | Primary |
Addresses
Primary practice location
7500 Mercy Rd
Alegent Health Bergan Mercy Emergency Dept
Omaha, NE 68124
Mailing address
900 So 74 PLZ
Ste 108
Omaha, NE 68114-4648
Phone (402) 391-3387
Other practice location 1
1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone (615) 928-6268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KS, FL, TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Summit Blvd
Tristar Mt Juliet ER
Mt Juliet, TN 37122-1700
Phone (615) 449-1100
478 Lovers LN
Bowling Green, KY 42103-8111
Phone (270) 793-1010
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Tennessee Ed, PLLC | Emergency Medicine | Current | Accepting new patients |
| Sheridan Emergency Physician Services Inc | Emergency Medicine | Current | Accepting new patients |
| Sheridan Emergency Physician Services Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of TN, PC | Emergency Medicine | Current | Accepting new patients |
| Putnam Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| App of Kansas Ed, PLLC | Emergency Medicine | Current | Accepting new patients |
| Alegent Creighton Health | Emergency Medicine | Past | Accepting new patients |
| Critical Care Associates LLP | Emergency Medicine | Past | Accepting new patients |
Locations
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1720785884
-
- Emergency Medicine Physician
- Bowling Green, KY
- NPI 1033816194
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
-
- Emergency Medicine Physician
- Cookeville, TN
- NPI 1891475752
-
- Emergency Medicine Physician
- Jupiter, FL
- NPI 1598748030
-
- Emergency Medicine Physician
- Leavenworth, KS
- NPI 1942817556
-
- Emergency Medicine Physician
- Bushnell, FL
- NPI 1326619727
-
dba Alegent Creighton Health Bergan ED Services
- Emergency Medicine Physician
- Omaha, NE
- NPI 1629343041
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1750324885
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tristar Greenview Regional Hospital
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1871547703
-
dba Tristar Summit Medical Center
- General Acute Care Hospital
- Hermitage, TN
- NPI 1982650024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1700836632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 SO 74 PLZ",
"address_2": "STE 108",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144648",
"telephone_number": "402-391-3387",
"fax_number": "402-391-7821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 MERCY RD",
"address_2": "ALEGENT HEALTH BERGAN MERCY EMERGENCY DEPT",
"city": "OMAHA",
"state": "NE",
"postal_code": "68124",
"telephone_number": "402-398-6161",
"fax_number": "402-398-6982"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385014294",
"country_code": "US",
"telephone_number": "615-928-6268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLARIC",
"first_name": "KENNETH",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "20044",
"primary": true
}
],
"identifiers": [],
"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 Aug 29, 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.