Active NPI
Jeffrey Mark Pollens, DPM
- Podiatrist
- Omaha, NE
National Provider Identifier
1710943279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 211
- Practice address
- 15403 Saratoga St
Omaha, NE 68116-8491 - Phone
- (402) 496-0003
- Fax
- (402) 496-0003
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 211 | NE | Primary |
Addresses
Primary practice location
15403 Saratoga St
Omaha, NE 68116-8491
Mailing address
15403 Saratoga St
Omaha, NE 68116-8491
Phone (402) 496-0003
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051121000812 | NE | Practitioner - Podiatry | 3375562275 | Practice locations: Omaha, NE; Ravenna, NE; Red Cloud, NE; Saint Paul, NE; Stromsburg, NE; Superior, NE; Tecumseh, NE; West Point, NE… |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
117 E 3Rd St
Stromsburg, NE 68666-3035
Phone (402) 764-8227
15403 Saratoga St
Omaha, NE 68116-8491
Phone (402) 496-0003
202 N Esther St
Fullerton, NE 68638-3029
Phone (308) 536-2488
411 W Genoa St
Ravenna, NE 68869-1213
Phone (308) 452-3230
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 4779 |
| Removal or shaving of skin growth | 1349 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211 | NE | MD | Professional Counselor |
| 2550 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Evangelical Lutheran Good Samaritan Society | Past | Accepting new patients | |
| Kakish MD Senior Care, PC | Past | Accepting new patients | |
| Bethesda Foundation | Past | Accepting new patients | |
| Physician Homecare Associates | Past | Accepting new patients | |
| Grand Island Bickford Cottage, L.L.C. | Past | Accepting new patients | |
| Heritage of St Paul, Inc | Past | Accepting new patients | |
| The Evangelical Lutheran Good Samaritan Society | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Assisted Living Facility
- Omaha, NE
- NPI 1083754881
-
- Assisted Living Facility
- Grand Island, NE
- NPI 1720362940
-
- Skilled Nursing Facility
- Saint Paul, NE
- NPI 1457460230
-
- Hospitalist Physician
- Omaha, NE
- NPI 1881132256
-
- Geriatric Medicine (Family Medicine) Physician
- Valley, NE
- NPI 1942228820
-
- Skilled Nursing Facility
- Nelson, NE
- NPI 1194706093
-
- Community Based Hospice Care Agency
- Hastings, NE
- NPI 1255165791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185926400000",
"number": "1710943279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15403 SARATOGA ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681168491",
"telephone_number": "402-496-0003",
"fax_number": "402-496-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15403 SARATOGA ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681168491",
"telephone_number": "402-496-0003",
"fax_number": "402-496-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLENS",
"first_name": "JEFFREY",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2007-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NE",
"license": "211",
"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 1, 2007; 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.