Active NPI
Virtumed LLC
- Family Medicine Physician
- Kearney, NE
National Provider Identifier
1902739717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VIRTUMED LLC
- Practice address
- 102 3Rd Ave
Kearney, NE 68845-7820 - Phone
- (708) 628-2326
- Fax
- (630) 566-8294
- NPI assigned
- Jun 3, 2026
- Organization subpart
- Yes
- Parent organization
- VIRTUMED LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rizwan Khan
- Title
- Owner
- Phone
- (708) 628-2326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
102 3Rd Ave
Kearney, NE 68845-7820
Mailing address
455 N Cityfront Plaza Dr Ste 2515
Chicago, IL 60611-5323
Phone (708) 628-2326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260608003574 | NE | Part B Supplier - Clinic/Group Practice | 1456714997 |
Receives reassigned benefits from 1 practitioner Practice locations: Kearney, NE |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Virtumed LLC
- Part of
- Virtumed LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Plano, TX
- NPI 1235821943
-
- Family Medicine Physician
- Oak Park, IL
- NPI 1447116991
-
- Family Medicine Physician
- Cocoa, FL
- NPI 1669302394
-
- Physical Medicine & Rehabilitation Physician
- Scottsdale, AZ
- NPI 1710764477
-
- Internal Medicine Physician
- Flint, MI
- NPI 1730026642
Locations
102 3rd Ave
Kearney, NE 68845
Phone (308) 237-2273
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics Physician
- Kearney, NE
- NPI 1154405926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786060800000",
"number": "1902739717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 N CITYFRONT PLAZA DR STE 2515",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115323",
"telephone_number": "708-628-2326",
"fax_number": "630-566-8294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 3RD AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688457820",
"telephone_number": "708-628-2326",
"fax_number": "630-566-8294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRTUMED LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VIRTUMED LLC",
"enumeration_date": "2026-06-03",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "RIZWAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-628-2326"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.