Individual provider Active NPI

Kristee Zoloty, D.O.

  • Internal Medicine Physician
  • La Vista, NE
National Provider Identifier
1982754982
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
341 Issued in NE
Practice address
8074 S 84TH St
La Vista, NE 68128-3303
Phone
(402) 593-1700
Fax
(402) 593-9905
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 341 NE Primary

Addresses

Primary practice location

8074 S 84TH St
La Vista, NE 68128-3303

Mailing address

PO Box 642117
Omaha, NE 68164-8117
Phone (402) 717-4377

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
I20100511000776 NE Practitioner - Internal Medicine 2264560366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

4508 38TH St
Suite 157
Columbus, NE 68601-1668
Phone (402) 562-8445

8248 S 96TH St
La Vista, NE 68128-3126
Phone (402) 717-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
341NEMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Sep 1, 2003 Accepting new patients
Alegent Creighton Clinic Internal Medicine CurrentSince Sep 1, 2003 Accepting new patients
Alegent Creighton Clinic Internal Medicine Past Accepting new patients

Locations

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

2771 Solution Ctr
Chicago, IL 60677

4508 38th St
Ste 157
Columbus, NE 68601
Phone (402) 280-4497

1130 N 204th Ave
Elkhorn, NE 68022
Phone (402) 289-3377

8248 S 96th St
Lavista, NE 68128
Phone (402) 717-9500

8074 S 84th St
Lavista, NE 68128
Phone (402) 331-3373

Interoperability endpoints

  • Direct secure messaging: kzoloty8549@achce.catholichealth.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1982754982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642117",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681648117",
            "telephone_number": "402-717-4377",
            "fax_number": "402-717-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8074 S 84TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283303",
            "telephone_number": "402-593-1700",
            "fax_number": "402-593-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLOTY",
        "first_name": "KRISTEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

Verify at the official NPI Registry.