Individual provider Active NPI

Gerald Keasling, MD

  • Obstetrics & Gynecology Physician
  • Fremont, NE
National Provider Identifier
1770558801
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14148 Issued in NE
Practice address
700 E 29TH St
Fremont, NE 68025-2384
Phone
(402) 721-3133
Fax
(402) 941-7017
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 14148 NE Primary

Addresses

Primary practice location

700 E 29TH St
Fremont, NE 68025-2384

Mailing address

700 E 29TH St
Fremont, NE 68025-2384
Phone (402) 721-3133

Other identifiers 1

IdentifierTypeStateIssuer
47053664516MedicaidNE

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
I20100716000053 NE Practitioner - Obstetrics/Gynecology 0648367177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Nebraska College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570

450 E 23Rd St
Fremont, NE 68025-2303
Phone (402) 721-1610

700 E 29TH St
Methodist Physicians Clinic Women's Center
Fremont, NE 68025-2384
Phone (402) 721-3133

717 N 190TH PLZ
Suite 1100
Elkhorn, NE 68022-3917
Phone (402) 815-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14148NEMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc Obstetrics & Gynecology CurrentSince May 3, 2020 Accepting new patients
Fremont Medical Associates, P.C. Obstetrics & Gynecology Current Accepting new patients
Methodist Fremont Health Past Accepting new patients

Locations

2540 N Healthy Way
Fremont, NE 68025
Phone (402) 721-3133

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

2830 N Clarkson St
Fremont, NE 68025
Phone (402) 354-1200

700 E 29th St
Fremont, NE 68025
Phone (402) 721-3133

825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

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.

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1770558801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E 29TH ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252384",
            "telephone_number": "402-721-3133",
            "fax_number": "402-941-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 29TH ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252384",
            "telephone_number": "402-721-3133",
            "fax_number": "402-941-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEASLING",
        "first_name": "GERALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "14148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47053664516",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.