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

Sex

Male

Sole proprietor

No

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.

• Omaha Nephrology PC

  • Nephrology Physician
  • Omaha, NE
  • NPI 1053407064

  IA, NE, Nephrology

  Medicare reassignment Care Compare group NPD
• Physicians Clinic Inc

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1821049156

  IA, Internal Medicine, NE

  Medicare reassignment Care Compare group NPD
• Physicians Clinic Inc

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
  • NPI 1720606932
  Care Compare group
• Physicians Clinic, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
  • NPI 1124118385
  Care Compare group
• Physicians Clinic, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
  • NPI 1790874790
  Care Compare group
• Physicians Clinic, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
  • NPI 1831286673
  Care Compare group

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

• Dva Renal Healthcare Inc

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

  Dialysis facility

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

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

  Dialysis facility

  Care Compare affiliation Name & address match
• Nebraska Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883

  Hospital

  Care Compare affiliation
• The Nebraska Medical Center

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356307581

  Hospital

  Care Compare affiliation
• Jennie Edmundson Memorial Hospital

  • General Acute Care Hospital
  • Council Bluffs, IA
  • NPI 1457448755

  Hospital

  Care Compare affiliation
• Montgomery County Memorial Hospital

  • Critical Access Hospital
  • Red Oak, IA
  • NPI 1376539338

  Hospital

  Care Compare affiliation
• Shenandoah Medical Center

  • Critical Access Hospital
  • Shenandoah, IA
  • NPI 1184621096

  Hospital

  Care Compare affiliation

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 Inc 557 clinicians

Omaha Nephrology PC 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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2019.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01352298",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982833554",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "1982833554",
            "state": "NE"
        }
    ],
    "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

• All providers in Omaha, NE
• 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.