NPIMap

Organization Active NPI

Integrated Cardiology Group LLC

Doing business as Bryan Heart

  • Cardiovascular Disease Physician
  • Lincoln, NE
National Provider Identifier
1982653515
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
INTEGRATED CARDIOLOGY GROUP LLC
Doing business as
Bryan Heart
Practice address
1600 S 48TH St
Suite 600
Lincoln, NE 68506-1275
Phone
(402) 483-3333
Fax
(402) 483-3297
NPI assigned
May 10, 2006
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Philip A Zeccardi
Title
Chief Administrative Officer
Phone
(402) 483-3333

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU
Nurse Practitioner 363L00000X NU
Acute Care Nurse Practitioner 363LA2100X NU
Adult Health Nurse Practitioner 363LA2200X NU
Cardiovascular Disease Physician 207RC0000X NU Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X NU
Interventional Cardiology Physician 207RI0011X NU
Vascular Surgery Physician 2086S0129X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X NU

Addresses

Primary practice location

1600 S 48TH St
Suite 600
Lincoln, NE 68506-1275

Mailing address

PO Box 860879
Minneapolis, MN 55486-0879
Phone (402) 483-3333

Other names 1

  • BRYAN HEART Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@hisp.bryanhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS, IA, MO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031211000484 NE Part B Supplier - Clinic/Group Practice 7911803796 Receives reassigned benefits from 83 practitioners
O20040712001326 KS Part B Supplier - Clinic/Group Practice 7911803796 Receives reassigned benefits from 10 practitioners
Practice locations: Belleville, KS; Mankato, KS; Marysville, KS; Phillipsburg, KS; Smith Center, KS
O20040928001213 IA Part B Supplier - Clinic/Group Practice 7911803796 Receives reassigned benefits from 8 practitioners
Practice locations: Clarinda, IA
O20070419000236 MO Part B Supplier - Clinic/Group Practice 7911803796 Receives reassigned benefits from 8 practitioners
Practice locations: Fairfax, MO

National Provider Directory

National Provider Directory

Locations

26136 US Highway 59
#A
Fairfax, MO 64446
Phone (660) 686-2211

3563 Prairieview St
Ste 200
Grand Island, NE 68803
Phone (308) 382-2010

425 N Diers Ave
#2
Grand Island, NE 68803
Phone (308) 398-0990

715 N Kansas Ave
Ste 100
Hastings, NE 68901
Phone (402) 460-5555

1600 S 48th St
Ste 500
Lincoln, NE 68506

1600 S 48th St
Ste 600
Lincoln, NE 68506
Phone (402) 416-9327

2222 S 16th St
Fl 7
Lincoln, NE 68502
Phone (402) 483-8444

755 Fallbrook Blvd
#108
Lincoln, NE 68521

Practitioners & affiliated clinicians

Practitioners 110

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 110

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1982653515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860879",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860879",
            "telephone_number": "402-483-3333",
            "fax_number": "402-483-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 48TH ST",
            "address_2": "SUITE 600",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061275",
            "telephone_number": "402-483-3333",
            "fax_number": "402-483-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARDIOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "ZECCARDI",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "402-483-3333"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@hisp.bryanhealth.org",
            "affiliation": "N",
            "address_1": "1600 S 48th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685061299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BRYAN HEART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.