Timothy Blecha, MD
Individual provider Active NPI Family Medicine Physician · Superior, NE
NPI 1790777936 · NPPES record last updated Sep 9, 2020
Key facts
- NPI
- 1790777936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 15972 (NE)
- Practice address
- 525 E 11TH St
Superior, NE 68978-1101 - Phone
- (402) 879-4781
- Fax
- (402) 879-3365
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 12
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Creighton University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brodstone Memorial Hospital
Practice addresses (Care Compare)
520 E 10TH St
Superior, NE 68978-1225
Phone (402) 879-3281
Hospital & facility affiliations
- Pivotal Health & Wellness, Inc
- Angels Care Progressive Home Health
- Aseracare Hospice
- Brodstone Healthcare
- Webster County Community Hospital
- The Nebraska Medical Center
- CHI Health St. Francis
- Mary Lanning Healthcare
- Good Samaritan Society - Superior
- Brodstone Healthcare
- Parkview Haven Nursing Home
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.6 of 100
- Quality
- 82.13
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Brodstone Healthcare |
Hospital | W-2 Managing Employee Operational/Managerial Control |
May 17, 2024 May 17, 2024 |
| Brodstone Healthcare |
Hospital | W-2 Managing Employee Operational/Managerial Control |
May 17, 2024 May 17, 2024 |
| Brodstone Family Medical Center - Nelson |
Rural health clinic | W-2 Managing Employee Operational/Managerial Control |
Oct 1, 2004 Oct 1, 2004 |
| Brodstone Family Medical Center - Superior |
Rural health clinic | W-2 Managing Employee Operational/Managerial Control |
Oct 1, 2004 Oct 1, 2004 |
| Brodstone Family Medical Center - Edgar |
Rural health clinic | W-2 Managing Employee Operational/Managerial Control |
Jul 1, 2017 Jul 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100218000155 | NE | Practitioner - Family Practice | 9234273988 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brodstone Memorial Hospital | Current | Accepting new patients | |
| Brodstone Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| The Evangelical Lutheran Good Samaritan Society | Past | Accepting new patients |
Locations
525 E 11th St
Superior, NE 68978
Phone (402) 879-4781
520 E 10th St
Superior, NE 68978
Phone (402) 224-3344
Interoperability endpoints
- timothyblecha@bmh.securechart.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 15972 | NE | |
| Emergency Medicine Physician | 207P00000X | 15972 | NE | |
| Family Medicine Physician | 207Q00000X | 15972 | NE | Yes |
Addresses
Primary practice location
525 E 11TH St
Superior, NE 68978-1101
Mailing address
PO Box 407
525 E 11TH St
Superior, NE 68978-0407
Phone (402) 879-4781
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32279 | Other | NE | BLUE CROSS BLUE SHIELD NE |
| 1790777936 | Medicaid | NE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | TimothyBlecha@bmh.securechart.com | Direct |
Other providers in Superior, NE
- Sierra Banzhaf
- McKenzie Beck
- Verne Wray Bluhm
- Brodstone Memorial Hospital
- Brodstone Memorial Hospital
- Brodstone Memorial Hospital
- Brodstone Memorial Hospital
All providers in Superior, NE · Family Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.