Gregory W Heidrick, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Lincoln, NE
NPI 1972688596 · NPPES record last updated May 3, 2021
Key facts
- NPI
- 1972688596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 17628 (NE)
- Practice address
- 9110 Andermatt Dr Ste 2
Lincoln, NE 68526-6701 - Phone
- (402) 483-7641
- Fax
- (402) 483-0527
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Nebraska College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lincoln OB-GYN P.C.
Practice addresses (Care Compare)
9110 Andermatt Dr
Suite 2
Lincoln, NE 68526-9769
Phone (402) 483-7641
Hospital & facility affiliations
- Memorial Health Care Systems
- Syracuse Area Health
- Pender Community Hospital
- Lincoln Surgical Hospital
- Saunders Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 18 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051212000464 | NE | Practitioner - Obstetrics/Gynecology | 4486674348 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17628 | NE | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln OB-GYN P.C. | Obstetrics & Gynecology | Current |
Accepting new patients |
Locations
5100 N 26th St
Ste 200
Lincoln, NE 68521
Phone (402) 483-7641
9110 Andermatt Dr
Ste 2
Lincoln, NE 68526
Phone (402) 483-7641
Interoperability endpoints
- gregory.heidrick@lincolnobgyn.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 17628 | NE | Yes |
Addresses
Primary practice location
9110 Andermatt Dr Ste 2
Lincoln, NE 68526-6701
Mailing address
9110 Andermatt Dr Ste 2
Lincoln, NE 68526-6701
Phone (402) 483-7641
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-0546525-12 | Medicaid | NE |
Other providers in Lincoln, NE
- Jill N Heidbrink
- Haley Heiden
- Cynthia Ann Heider Kaliff
- Miriam Heider
- Kayla M Heidinger
- Anthony Heidtbrink
- Megan Marie Heidtbrink
- Robin Kay Heidtbrink
- Cassandra Heier
- Kent A Heikes
All providers in Lincoln, NE · Obstetrics & Gynecology Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.