NPIMap

Individual provider Active NPI

Benjamin Thayer, MD

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1780979195
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27378 Issued in NE
Practice address
1240 Aries Dr
Lincoln, NE 68512-9100
Phone
(402) 420-1300
Fax
(402) 420-1326
NPI assigned
Jun 14, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TEP6487 NJ
Family Medicine Physician 207Q00000X 27378 NE Primary

Addresses

Primary practice location

1240 Aries Dr
Lincoln, NE 68512-9100

Mailing address

1240 Aries Dr
Lincoln, NE 68512-9100
Phone (402) 420-1300

Other practice location 1

4600 Valley Rd
Ste 200
Lincoln, NE 68510-4855
Phone (402) 483-4571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131109000528 NE Practitioner - Family PracticePractitioner - Emergency Medicine 9830324318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Nebraska College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

PO Box
Suite 278
Beatrice, NE 68310-0278

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27378NEMDFamily Medicine Physician
TEP6487NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County Hospital Current Accepting new patients
Beatrice Community Hospital & Health Center Inc CurrentSince Aug 19, 2019 Accepting new patients
Beatrice Community Hospital & Health Center Inc Past Accepting new patients
Lincoln Physician Network LLC Past Accepting new patients

Locations

4800 Hospital Pkwy
Beatrice, NE 68310
Phone (402) 228-3344

202 High St
Tecumseh, NE 68450
Phone (402) 274-4373

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beatrice Community Hospital & Health Center IncBeatrice, NE, CCN 28Z364 Hospital Corporate Director Jan 1, 2021
Beatrice Community Hospital & Health Center IncBeatrice, NE, CCN 281364 Hospital Corporate Director Jan 1, 2021
Wymore Medical ClinicWymore, NE, CCN 283415 Rural health clinic Corporate Director Jan 1, 2022
The Beatrice Women's and Children's ClinicBeatrice, NE, CCN 288504 Rural health clinic Corporate Director Jan 1, 2021
Beatrice Family and Internal MedicineBeatrice, NE, CCN 288524 Rural health clinic Corporate Director Jan 1, 2021

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 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": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780979195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 ARIES DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129100",
            "telephone_number": "402-420-1300",
            "fax_number": "402-420-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 ARIES DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129100",
            "telephone_number": "402-420-1300",
            "fax_number": "402-420-1326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Valley Rd",
            "address_2": "STE 200",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685104855",
            "country_code": "US",
            "telephone_number": "402-483-4571",
            "fax_number": "402-483-5079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAYER",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "TEP6487",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "27378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.