Individual provider Active NPI

Richard Arthur Fermelia, MD

  • Surgery Physician
  • Lincoln, NE
National Provider Identifier
1851486831
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30056 Issued in NE
Practice address
9100 Andermatt Dr Ste 1
Lincoln, NE 68526-6700
Phone
(402) 434-2730
Fax
(402) 434-3970
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X 30056 NE
Obesity Medicine (Psychiatry & Neurology) Physician 2084B0002X 30056 NE
Surgery Physician 208600000X 30056 NE Primary

Addresses

Primary practice location

9100 Andermatt Dr Ste 1
Lincoln, NE 68526-6700

Mailing address

9100 Andermatt Dr Ste 1
Lincoln, NE 68526-6700
Phone (402) 434-2730

Other identifiers 3

IdentifierTypeStateIssuer
109918300MedicaidWY
NA3283007OtherNEMEDICARE
10026721200MedicaidNE

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
I20180814002789 NE Practitioner - General Surgery 4587769369 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Utah School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9100 Andermatt Dr
Suite 1
Lincoln, NE 68526-6700
Phone 40222781572

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
384WYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC Surgery CurrentSince Jan 1, 2021 Accepting new patients
Pine Lake Behavioral Health, LLC. CurrentSince Aug 1, 2019 Accepting new patients
Heartland Surgical Services, LLC. CurrentSince Sep 1, 2019 Accepting new patients
The Physician Network Surgery PastSince Sep 1, 2011 Accepting new patients

Locations

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

9100 Andermatt Dr
Ste 1
Lincoln, NE 68526
Phone (402) 227-8157

Interoperability endpoints

  • Direct secure messaging: rfermelia4323@direct.crmcwy.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1851486831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 ANDERMATT DR STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685266700",
            "telephone_number": "402-434-2730",
            "fax_number": "402-434-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 ANDERMATT DR STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685266700",
            "telephone_number": "402-434-2730",
            "fax_number": "402-434-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERMELIA",
        "first_name": "RICHARD",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NE",
            "license": "30056",
            "primary": false
        },
        {
            "code": "2084B0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Obesity Medicine",
            "state": "NE",
            "license": "30056",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "30056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109918300",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NA3283007",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026721200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.