Active NPI
Ryan Kirk Sewell, MD
- Otolaryngology Physician
- Omaha, NE
National Provider Identifier
1740300482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 25702
- Practice address
- 720 N 129TH St
Omaha, NE 68154-6109 - Phone
- (402) 397-0670
- Fax
- (402) 397-0713
- NPI assigned
- Mar 29, 2007
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 25702 | NE | Primary |
Addresses
Primary practice location
720 N 129TH St
Omaha, NE 68154-6109
Mailing address
720 N 129TH St
Omaha, NE 68154-6109
Phone (402) 397-0670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47056003300 | Medicaid | NE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25702 | NE | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Specialists PC | Otolaryngology | Current | Accepting new patients |
| Children'S Specialty Physician Billing | Past | Accepting new patients | |
| Nebraska Pediatric Practice, Inc | Past | Accepting new patients |
Locations
720 N 129th St
Omaha, NE 68154
Phone (402) 397-0670
Interoperability endpoints
- ryansewell@entspecial.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Omaha, NE
- NPI 1043282668
-
- Pediatric Nurse Practitioner
- Omaha, NE
- NPI 1013040369
-
- Pediatrics Physician
- Omaha, NE
- NPI 1144556333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1740300482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 N 129TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681546109",
"telephone_number": "402-397-0670",
"fax_number": "402-397-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 N 129TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681546109",
"telephone_number": "402-397-0670",
"fax_number": "402-397-0713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEWELL",
"first_name": "RYAN",
"middle_name": "KIRK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NE",
"license": "25702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47056003300",
"state": "NE"
}
],
"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 Jan 20, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.