Active NPI
Mark Edward Kremen, MD
- Psychiatry Physician
- Omaha, NE
National Provider Identifier
1922042456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 21643
- Practice address
- 10824 Old Mill Rd
#21
Omaha, NE 68154-2642 - Phone
- (402) 330-6060
- Fax
- (402) 330-6108
- NPI assigned
- Jun 15, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 21643 | NE | Primary |
| Psychiatry Physician | 2084P0800X | 35135 | IA |
Addresses
Primary practice location
10824 Old Mill Rd
#21
Omaha, NE 68154-2642
Mailing address
6617 Cuming St
Omaha, NE 68132-1121
Phone (402) 981-5507
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 |
|---|---|---|---|
| 35135 | IA | MD | Psychiatry Physician |
| 21643 | NE | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creighton University | Past | Accepting new patients | |
| Creighton University | Past | Accepting new patients | |
| Southwest Iowa Mental Health Center | Past | Accepting new patients | |
| Omaha Integrative Care, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8127/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Allergy & Immunology (Internal Medicine) Physician
- Omaha, NE
- NPI 1295777225
-
- Physical Therapist
- Omaha, NE
- NPI 1780172304
-
- Clinical Social Worker
- Omaha, NE
- NPI 1023302247
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Atlantic, IA
- NPI 1033181086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1922042456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6617 CUMING ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681321121",
"telephone_number": "402-981-5507",
"fax_number": "402-932-6024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10824 OLD MILL RD",
"address_2": "#21",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542642",
"telephone_number": "402-330-6060",
"fax_number": "402-330-6108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREMEN",
"first_name": "MARK",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "21643",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IA",
"license": "35135",
"primary": false
}
],
"identifiers": [],
"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 Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.