Individual provider Active NPI

Bart K Kolste, M.D.

  • Family Medicine Physician
  • Ogallala, NE
National Provider Identifier
1922076074
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15575 Issued in NE
Practice address
221 E 10TH St
Ogallala, NE 69153-1425
Phone
(308) 284-8421
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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 15575 NE Primary

Addresses

Primary practice location

221 E 10TH St
Ogallala, NE 69153-1425

Mailing address

PO Box 26
Ogallala, NE 69153-0026
Phone (308) 284-8421

Other identifiers 1

IdentifierTypeStateIssuer
47-083450613MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000218 NE Practitioner - Family Practice 0547397226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15575NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perkins County Hospital District Past Accepting new patients
Radiology Services, P.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1922076074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "691530026",
            "telephone_number": "308-284-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E 10TH ST",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "691531425",
            "telephone_number": "308-284-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLSTE",
        "first_name": "BART",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "15575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-083450613",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogallala, NE

Sources for this page

Verify at the official NPI Registry.