Active NPI
Lon W Keim, M.D.
- Pulmonary Disease Physician
- Omaha, NE
National Provider Identifier
1881667574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 13357
- Practice address
- 4242 Farnam St
Suite 355
Omaha, NE 68131-2806 - Phone
- (402) 552-9700
- NPI assigned
- Feb 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 13357 | NE | Primary |
| Pulmonary Disease Physician | 207RP1001X | 19940 | IA | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 13357 | NE | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 19940 | IA |
Addresses
Primary practice location
4242 Farnam St
Suite 355
Omaha, NE 68131-2806
Mailing address
4242 Farnam St
Suite 355
Omaha, NE 68131-2806
Phone (402) 552-9700
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07633 | Other | IA | WELLMARK - HAMBURG |
| 10025359300 | Medicaid | NE | |
| P00307779 | Other | NE | RAILROAD MEDICARE |
| 200999811 | Medicaid | MO | |
| 5902544 | Medicaid | IA | |
| 94690 | Other | IA | WELLMARK - FARNAM |
| 00910 | Other | NE | BCBSN |
| 4902544 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19940 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Physicians | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Omaha, NE
- NPI 1750443503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1881667574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4242 FARNAM ST",
"address_2": "SUITE 355",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312806",
"telephone_number": "402-552-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4242 FARNAM ST",
"address_2": "SUITE 355",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312806",
"telephone_number": "402-552-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIM",
"first_name": "LON",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-11",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NE",
"license": "13357",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IA",
"license": "19940",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "NE",
"license": "13357",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "IA",
"license": "19940",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK - HAMBURG",
"identifier": "07633",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025359300",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00307779",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200999811",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902544",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK - FARNAM",
"identifier": "94690",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSN",
"identifier": "00910",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4902544",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.