Individual provider Active NPI

Timothy A Tesmer, MD

  • Otolaryngology Physician
  • Lincoln, NE
National Provider Identifier
1972587327
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
20863 Issued in NE
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

Updated by the provider on Jun 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
47079761113MedicaidNE

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
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

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC Otolaryngology CurrentSince Jan 1, 2021 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.

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

Verify at the official NPI Registry.