Individual provider Active NPI

Timothy Shew, PA

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1760014757
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2459 Issued in NE
Practice address
7500 Mercy Rd Ste 1300
Omaha, NE 68124-2319
Phone
(402) 393-3110
Fax
(402) 393-4499
NPI assigned
Feb 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2459 NE Primary

Addresses

Primary practice location

7500 Mercy Rd Ste 1300
Omaha, NE 68124-2319

Mailing address

7500 Mercy Rd Ste 1300
Omaha, NE 68124-2319
Phone (402) 393-3110

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200328000154 NE Practitioner - Physician Assistant 5991134827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology West PCGroup PAC ID 8426030024, 56 clinicians

Practice addresses (Care Compare)

17201 Wright St
Suite 200
Omaha, NE 68130-2042
Phone (402) 334-4773

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 393-3110

8303 Dodge St
Suite 250
Omaha, NE 68114-4108
Phone (402) 354-8124

Hospital & facility affiliations

  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • Methodist Fremont Health Hospital, Fremont, NE, CCN 280077

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
89.93
Promoting interoperability
100
Improvement activities
40
Cost
54.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2459NEMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology West, PC CurrentSince Feb 15, 2020 Accepting new patients

Locations

201 Ridge St
Ste 201
Council Bluffs, IA 51503
Phone (712) 322-5899

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

17201 Wright St
Ste 200
Omaha, NE 68130
Phone (402) 334-4773

7500 Mercy Rd
#1300
Omaha, NE 68124
Phone (402) 393-3110

8303 Dodge St
Ste 250
Omaha, NE 68114
Phone (402) 354-8124

7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000

7500 Mercy Rd
Ste 1300
Omaha, NE 68124
Phone (402) 334-4773

611 Fenwick Dr
Papillion, NE 68046
Phone (402) 593-3141

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1760014757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 MERCY RD STE 1300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242319",
            "telephone_number": "402-393-3110",
            "fax_number": "402-393-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 MERCY RD STE 1300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242319",
            "telephone_number": "402-393-3110",
            "fax_number": "402-393-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEW",
        "first_name": "TIMOTHY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.