John Hallgren, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25348 Issued in NE

Practice address

10040 Regency Cir Ste 375
Omaha, NE 68114-3755

Phone

(402) 509-8964

Fax

(402) 262-1503

NPI assigned

Sep 22, 2005

Last updated

Sep 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, TX, IA3 enrollments

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 3

Specialty

Family Practice

Education

Uniformed Services Uhs Fe Hebert School of Med, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Health NetworkGroup PAC ID 6800707100, shared by 49 NPIs, 357 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.hallgrenmd.p1@direct.charlesdrew.nextgenshare.com

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.

• Charles Drew Health Center, Inc

  dba Charles Drew Health Center, Inc at Grant Street

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1255302170
  Medicare reassignment NPD
• Collaborative Care Associates PC

  • Hospitalist Physician
  • Omaha, NE
  • NPI 1750877510
  Medicare reassignment NPD
• Memorial Health Care Systems

  dba MHCS Clinic Professional Services

  • Family Medicine Physician
  • Seward, NE
  • NPI 1699845016
  Medicare reassignment NPD
• Ponca Tribe of Nebraska

  dba Fred LeRoy Health & Wellness Center

  • Clinic/Center
  • Omaha, NE
  • NPI 1710172879

  TX

  Medicare reassignment NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Aleknagik North, AK
  • NPI 1235291246

  TX

  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Health Lake Park Clinic

  • Multi-Specialty Clinic/Center
  • Lake Park, IA
  • NPI 1134787930
  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Sheldon Medical Center

  • Critical Access Hospital
  • Sheldon, IA
  • NPI 1841200623
  Medicare reassignment NPD
• Charles Drew Health Center, Inc.

  dba Charles Drew Health Center Inc at Benson SBHC

  • Federally Qualified Health Center (FQHC)
  • Omaha, NE
  • NPI 1215767421
  NPD
• Memorial Health Care Systems

  dba Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Seward, NE
  • NPI 1013087089
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Koliganek, AK
  • NPI 1013079607
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Ekwok, AK
  • NPI 1104988799
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Pilot Point, AK
  • NPI 1174683825
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1710973029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31237",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681310237",
            "telephone_number": "402-509-8964",
            "fax_number": "402-262-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 REGENCY CIR STE 375",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143755",
            "telephone_number": "402-509-8964",
            "fax_number": "402-262-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLGREN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0058826",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "25348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Hall
• Tamera Hall
• Amy Hallam
• Kennedi Hallberg
• Jyllyan Christine Halldorson, DNP
• Jammie Halliburton
• Jennifer Lynn Halliburton
• Nathan P Hallman, PA-C
• Tanner Wesley Hallman
• Timothy Hallman, M.D.

• Family Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.

Verify at the official NPI Registry.