NPIMap

Individual provider Active NPI

John Louis Allen, M.D.

  • Vascular & Interventional Radiology Physician
  • Grand Island, NE
National Provider Identifier
1871573956
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
19987 Issued in NE
Practice address
730 N Diers Ave
Grand Island, NE 68803-4954
Phone
(308) 398-1344
Fax
(308) 398-1346
NPI assigned
Jan 17, 2006
Last updated
Jun 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 19987 NE
Vascular & Interventional Radiology Physician 2085R0204X 19987 NE Primary

Addresses

Primary practice location

730 N Diers Ave
Grand Island, NE 68803-4954

Mailing address

730 N Diers Ave
Grand Island, NE 68803-4954
Phone (308) 398-1344

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
I20050110000644 NE Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9931157633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Nebraska College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology of Grand Island PCGroup PAC ID 6800810086, 3 clinicians

Practice addresses (Care Compare)

10 E 31St St
Kearney, NE 68847-2908
Phone (308) 865-7100

601 W Leota St
Great Plains Health
North Platte, NE 69101-6525
Phone (308) 568-8000

715 N Saint Joseph Ave
Mary Lanning Healthcare
Hastings, NE 68901-4451
Phone (402) 463-4521

730 N Diers Ave
Grand Island, NE 68803-4954
Phone (308) 398-1344

804 22ND Ave
Kearney, NE 68845-2206
Phone (855) 404-5762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.36 of 100Reported as apm
Quality
90.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
51.74 of 100Reported as individual
Quality
74.19
Improvement activities
0
Cost
73.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19987NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Diagnostic Radiology CurrentSince Sep 9, 2024 Accepting new patients
Advanced Radiology of Grand Island, PC Diagnostic Radiology CurrentSince Dec 19, 2005 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Jan 14, 2025 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Jan 14, 2025 Accepting new patients
Grand Island Radiology Associates PC Diagnostic Radiology Past Accepting new patients

Locations

3610 Richmond Cir
Ste 100
Grand Island, NE 68803
Phone (308) 382-6856

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

730 N Diers Ave
Grand Island, NE 68803
Phone (308) 321-2242

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

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1871573956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N DIERS AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034954",
            "telephone_number": "308-398-1344",
            "fax_number": "308-398-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N DIERS AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034954",
            "telephone_number": "308-398-1344",
            "fax_number": "308-398-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JOHN",
        "middle_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "19987",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NE",
            "license": "19987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.