NPIMap

Individual provider Active NPI

Jeffrey Richard Klug, M.D.

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1861805780
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29688 Issued in NE
Practice address
Emile @ 42ND St
Omaha, NE 68198-1045
Phone
(402) 559-1010
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29688 NE Primary

Addresses

Primary practice location

Emile @ 42ND St
Omaha, NE 68198-1045

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170719002982 NE Practitioner - Diagnostic Radiology 3375764327 Reassigns benefits to 2 organizations
I20240727000224 TX Practitioner - Diagnostic Radiology 3375764327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Nebraska College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hastings Radiology Associates PCGroup PAC ID 5890690390, 4 clinicians
Winnebago Tribe of NebraskaGroup PAC ID 7113268640, 32 clinicians

Practice addresses (Care Compare)

1021 W 14TH St
Hastings, NE 68901-3046
Phone (402) 463-2423

1301 E H St
Community Hospital
MC Cook, NE 69001-3482
Phone (308) 344-2650

1313 N Cheyenne St
Dundy County Hospital
Benkelman, NE 69021-3074
Phone (308) 423-2204

145 Memorial Dr
Broken Bow, NE 68822-1378
Phone (308) 872-4100

225 Bluff St
Winnebago, NE 68071-9703
Phone (402) 878-3554

531 Beebe St
Osceola, NE 68651-5537
Phone (402) 747-1426

600 W 12TH St
Chase County Community Hospital
Imperial, NE 69033-3130
Phone (308) 882-7111

601 W Leota St
North Platte, NE 69101-6525

621 N Franklin St
Red Cloud, NE 68970-2260
Phone (402) 746-5600

715 N Saint Joseph Ave
Hastings, NE 68901-4451
Phone (402) 461-5191

804 W 22ND St
Kearney, NE 68845-5047
Phone (308) 455-3600

900 Lincoln Ave
Grant, NE 69140-3095
Phone (308) 352-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.14 of 100Reported as individual
Quality
89.3
Improvement activities
0
Cost
78.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7196NEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Hastings Radiology Associates PC Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jun 1, 2024 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jun 1, 2024 Accepting new patients
North Platte Nebraska Hospital Corporation Past Accepting new patients

Locations

527 N Diers Ave
Ste 3
Grand Island, NE 68803
Phone (308) 675-3211

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

Organizations & group practices 6

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 10

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1861805780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMILE @ 42ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681981045",
            "telephone_number": "402-559-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUG",
        "first_name": "JEFFREY",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "29688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.