NPIMap

Individual provider Active NPI

Grant Saltzgaber

  • Family Medicine Physician
  • Tecumseh, NE
National Provider Identifier
1881259646
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8437 Issued in NE
Practice address
202 High St
Tecumseh, NE 68450-2443
Phone
(402) 335-3361
NPI assigned
May 7, 2019
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8437 NE Primary

Addresses

Primary practice location

202 High St
Tecumseh, NE 68450-2443

Mailing address

202 High St
Tecumseh, NE 68450-2443
Phone (402) 335-3361

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JohnsonCountyHospital@jchosp.cernerdirect.com Direct Johnson County Hospital

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
I20220525001069 NE Practitioner - Family Practice 2769710508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson County HospitalGroup PAC ID 4688583644, shared by 7 NPIs, 14 clinicians

Practice addresses (Care Compare)

202 High St
Tecumseh, NE 68450-2443
Phone (402) 335-3361

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County Hospital Current Accepting new patients
Johnson County Hospital CurrentSince Jun 1, 2022 Accepting new patients
Johnson County Hospital Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Johnson County Hospital Past Accepting new patients

Locations

202 High St
Tecumseh, NE 68450
Phone (402) 274-4373

202 High St
Ste 100
Tecumseh, NE 68450
Phone (402) 335-2811

Interoperability endpoints

  • Direct secure messaging: johnsoncountyhospital@jchosp.cernerdirect.com

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

Hospital & facility affiliations 4

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1881259646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HIGH ST",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684502443",
            "telephone_number": "402-335-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HIGH ST",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684502443",
            "telephone_number": "402-335-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTZGABER",
        "first_name": "GRANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-07",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "8437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JohnsonCountyHospital@jchosp.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "Johnson County Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "202 High St",
            "city": "Tecumseh",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684502443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tecumseh, NE

Sources for this page

Verify at the official NPI Registry.