Judd P Bauer, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

27849 Issued in NE

Practice address

1111 N 102ND CT Ste 200
Omaha, NE 68114-2194

Phone

(402) 502-2747

Fax

(402) 502-2387

NPI assigned

Jul 4, 2009

Last updated

Apr 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

NephrologyAlso: Internal Medicine

Education

University of Kansas School of Med (KC/Wich/Sal), 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Omaha Nephrology PCGroup PAC ID 5799677019, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Omaha West Dialysis Dialysis facility, Omaha, NE, CCN 282506
• DaVita Sorensen Park Dialysis Dialysis facility, Omaha, NE, CCN 282514
• The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
• Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
• The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
• Montgomery County Memorial Hospital Hospital, Red Oak, IA, CCN 161363
• Shenandoah Medical Center Hospital, Shenandoah, IA, CCN 161366

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: judd.bauer@omahaneph.directbygreenway.com

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.

• Omaha Nephrology PC

  • Nephrology Physician
  • Omaha, NE
  • NPI 1053407064

  IA

  Medicare reassignment Care Compare group NPD
• Physicians Clinic Inc

  dba Methodist Physicians Clinic

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1821049156

  IA, Internal Medicine

  Medicare reassignment Care Compare group NPD

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

• Dva Renal Healthcare Inc

  dba Sorensen Park Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Omaha, NE
  • NPI 1699737049

  Dialysis facility

  Care Compare affiliation Name & address match
• Dva Renal Healthcare Inc

  dba Omaha West Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Omaha, NE
  • NPI 1902868367

  Dialysis facility

  Care Compare affiliation Name & address match
• Nebraska Methodist Hospital

  dba Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  Care Compare affiliation
• The Nebraska Medical Center

  dba The Nebraska Medical Center - Nebraska Medicine

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356307581
  Care Compare affiliation
• Jennie Edmundson Memorial Hospital

  dba Methodist Jennie Edmundson

  • General Acute Care Hospital
  • Council Bluffs, IA
  • NPI 1457448755
  Care Compare affiliation
• Montgomery County Memorial Hospital

  • Critical Access Hospital
  • Red Oak, IA
  • NPI 1376539338
  Care Compare affiliation
• Shenandoah Medical Center

  • Critical Access Hospital
  • Shenandoah, IA
  • NPI 1184621096
  Care Compare affiliation

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

{
    "created_epoch": "1246665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1982833554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N 102ND CT STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142194",
            "telephone_number": "402-502-2747",
            "fax_number": "402-502-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N 102ND CT STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142194",
            "telephone_number": "402-502-2747",
            "fax_number": "402-502-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JUDD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-04",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "6052",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NE",
            "license": "27849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Bauer, MD
• Eden Bauer
• Gloria A Bauer, RP
• Joey Bauer, PLMHP
• Joshua Bauer, PHARM.D.
• Kylie Andrea Bauer
• Lisa C Bauer, APRN
• Rodney Bauer, MHP
• Shelby Bauer, MD
• Stanley Bauer

• Nephrology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Nephrology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.