Individual provider Active NPI

Andrew Herd, M.D.

  • Emergency Medicine Physician
  • Papillion, NE
National Provider Identifier
1972653715
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
24220 Issued in NE
Practice address
11111 S 84TH St
Department of Emergency Medicine
Papillion, NE 68046-4122
Phone
(402) 593-3000
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 24220 NE Primary
Emergency Medicine Physician 207P00000X 37289 IA

Addresses

Primary practice location

11111 S 84TH St
Department of Emergency Medicine
Papillion, NE 68046-4122

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other identifiers 6

IdentifierTypeStateIssuer
34051OtherIABCBS OF NEBRASKA FOR MERCY IOWA
100249951-00MedicaidNE
100251147-00MedicaidNE
70157OtherIAWELLMARK BCBS
00941OtherNEBCBS OF NEBRASKA
P00444102OtherNERRMEDICARE NUMBER FOR MIDLANDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071106000623 NE Practitioner - Emergency Medicine 0941397012 Reassigns benefits to 1 organization
I20071114000416 IA Practitioner - Emergency Medicine 0941397012 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37289IAMDEmergency Medicine Physician
24220NEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Physicians of Iowa PC Emergency Medicine CurrentSince Jul 1, 2007 Accepting new patients
New Century Physicians of Nebraska LLC Emergency Medicine CurrentSince Jul 1, 2007 Accepting new patients
Alegent Creighton Clinic CurrentSince Sep 9, 2023 Accepting new patients
Alegent Creighton Clinic CurrentSince Sep 9, 2023 Accepting new patients
Nebraska Emergency Physicians PC Emergency Medicine Past Accepting new patients
Virtualcare Medical Group of NE PC PastSince Apr 5, 2023 Accepting new patients
Alegent Creighton Health Emergency Medicine Past Accepting new patients
Critical Care Associates LLP Emergency Medicine Past Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2771 Solution Ctr
Chicago, IL 60677

555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000

2412 Cuming St
Omaha, NE 68131
Phone (402) 449-4000

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500

11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000

4750 Hempstead Station Dr
Kettering, OH 45429

Organizations & group practices 9

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1972653715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 S 84TH ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464122",
            "telephone_number": "402-593-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERD",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "24220",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "37289",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA FOR MERCY IOWA",
            "identifier": "34051",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249951-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251147-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "70157",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "00941",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE NUMBER FOR MIDLANDS",
            "identifier": "P00444102",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.