Individual provider Active NPI

James Douglas Kerr, MD

  • Family Medicine Physician
  • Imperial, NE
National Provider Identifier
1801897426
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2720 Issued in SD
Practice address
600 W 12TH St
Imperial, NE 69033-3131
Phone
(308) 882-7111
NPI assigned
Aug 4, 2005
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17148 NE
Family Medicine Physician 207Q00000X 3723A WY
Family Medicine Physician 207Q00000X 2720 SD Primary

Addresses

Primary practice location

600 W 12TH St
Imperial, NE 69033-3131

Mailing address

PO Box 819
Imperial, NE 69033-0819
Phone (308) 882-7111

Other identifiers 3

IdentifierTypeStateIssuer
46045931500MedicaidNE
5602744MedicaidSD
1986497MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110328000743 SD Practitioner - Family PracticePractitioner - General Practice 9931181146 Reassigns benefits to 2 organizations
I20180614000104 TX Practitioner - Family PracticePractitioner - Emergency Medicine 9931181146 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3723AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chase County Community Hospital Current Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 9, 2019 Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
Rosebud Indian Health Service CurrentSince Mar 9, 2019 Accepting new patients
Sacred Heart Health Services Past Accepting new patients
Hand County Memorial Hospital Past Accepting new patients

Locations

600 W 12th St
Imperial, NE 69033
Phone (308) 882-7111

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

Interoperability endpoints

  • Direct secure messaging: jkerr72@ccch.cernerdirect.com

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1801897426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "IMPERIAL",
            "state": "NE",
            "postal_code": "690330819",
            "telephone_number": "308-882-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 12TH ST",
            "city": "IMPERIAL",
            "state": "NE",
            "postal_code": "690333131",
            "telephone_number": "308-882-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "JAMES",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "17148",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "3723A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "2720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46045931500",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5602744",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1986497",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, NE

Sources for this page

Verify at the official NPI Registry.