Active NPI
David B Policky, M.D.
- Internal Medicine Physician
- Lincoln, NE
National Provider Identifier
1932217619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12234
- Practice address
- 770 N Cotner Blvd
Suite 220
Lincoln, NE 68505-2310 - Phone
- (402) 441-3400
- Fax
- (402) 441-3430
- NPI assigned
- Aug 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12234 | NE | Primary |
Addresses
Primary practice location
770 N Cotner Blvd
Suite 220
Lincoln, NE 68505-2310
Mailing address
770 N Cotner Blvd
Suite 220
Lincoln, NE 68505-2310
Phone (402) 441-3400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01633 | Other | NE | BCBS OF NEBRASKA |
| 0400027 | Other | NE | UNITED HEALTHCARE |
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 |
|---|---|---|---|
| 12234 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Physician Network | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- dpolicky@nim.gwaydirect.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932217619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 N COTNER BLVD",
"address_2": "SUITE 220",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052310",
"telephone_number": "402-441-3400",
"fax_number": "402-441-3430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 N COTNER BLVD",
"address_2": "SUITE 220",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052310",
"telephone_number": "402-441-3400",
"fax_number": "402-441-3430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLICKY",
"first_name": "DAVID",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "12234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NEBRASKA",
"identifier": "01633",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0400027",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.