Individual provider Active NPI

Douglas Arthur Dilly, M.D.

  • Family Medicine Physician
  • Norfolk, NE
National Provider Identifier
1740266162
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20233 Issued in NE
Practice address
2700 Norfolk Ave.
Norfolk, NE 68701
Phone
(402) 644-7543
Fax
(402) 644-7503
NPI assigned
Dec 17, 2005
Last updated
Jan 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20233 NE Primary

Addresses

Primary practice location

2700 Norfolk Ave.
Norfolk, NE 68701

Mailing address

2700 W Norfolk Ave
Norfolk, NE 68701-4438
Phone (402) 844-8121

Other identifiers 1

IdentifierTypeStateIssuer
NE20233MedicaidNE

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
I20040412000532 NE Practitioner - Family PracticePractitioner - Emergency Medicine 1557355732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Nebraska College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

306 L St
Suite 301
Neligh, NE 68756-1414
Phone (402) 887-1313

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
67.03
Promoting interoperability
96
Improvement activities
40
Cost
72.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Health Services CurrentSince May 20, 2000 Accepting new patients
Faith Regional Health Services CurrentSince May 20, 2000 Accepting new patients
Urgent Care of Omaha Maple LLC Past Accepting new patients

Locations

2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131

Interoperability endpoints

  • Direct secure messaging: ddilly20367@direct.nebraskamed.com

Organizations & group practices 4

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 5

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": "1134777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1740266162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014438",
            "telephone_number": "402-844-8121",
            "fax_number": "402-887-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NORFOLK AVE.",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "68701",
            "telephone_number": "402-644-7543",
            "fax_number": "402-644-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLY",
        "first_name": "DOUGLAS",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-17",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "20233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NE20233",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.