Active NPI
Timothy A Tesmer, MD
- Otolaryngology Physician
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 20863
- Practice address
- 1530 S 70TH St
Ste 200
Lincoln, NE 68506-1567 - Phone
- (402) 489-2266
- Fax
- (402) 489-9368
- NPI assigned
- Nov 30, 2005
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 20863 | NE | Primary |
Addresses
Primary practice location
1530 S 70TH St
Ste 200
Lincoln, NE 68506-1567
Mailing address
1530 S 70TH St
Ste 200
Lincoln, NE 68506-1567
Phone (402) 489-2266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47079761113 | Medicaid | NE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100308000840 | NE | Practitioner - Otolaryngology | 0547336919 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHI Health Clinic Specialty, LLC | Otolaryngology | Current | Accepting new patients |
| Associated Ear, Nose & Throat Physicians PC | Otolaryngology | Past | Accepting new patients |
Locations
1423 7th St
Aurora, NE 68818
Phone (402) 694-3171
2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
7001 A St
Ste 210
Lincoln, NE 68510
Phone (402) 484-5500
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.
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
NE, Otolaryngology
-
- Otolaryngology Physician
- Lincoln, NE
- NPI 1619951076
Otolaryngology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1972587327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 S 70TH ST",
"address_2": "STE 200",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061567",
"telephone_number": "402-489-2266",
"fax_number": "402-489-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 S 70TH ST",
"address_2": "STE 200",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061567",
"telephone_number": "402-489-2266",
"fax_number": "402-489-9368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESMER",
"first_name": "TIMOTHY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NE",
"license": "20863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47079761113",
"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 Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.