NPIMap

Individual provider Active NPI

Jose Ramon Garcia Sr., MD

  • Family Medicine Physician
  • Benkelman, NE
National Provider Identifier
1982843074
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25031 Issued in NE
Practice address
1313 N Cheyenne Street
Box 626
Benkelman, NE 69021
Phone
(308) 423-2204
NPI assigned
Feb 12, 2009
Last updated
Nov 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25031 NE Primary

Addresses

Primary practice location

1313 N Cheyenne Street
Box 626
Benkelman, NE 69021

Mailing address

PO Box 626
1313 N Cheyenne Street
Benkelman, NE 69021
Phone (308) 423-2204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090528000119 NE Practitioner - Family Practice 8921157728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dundy County HospitalGroup PAC ID 1153239777, shared by 5 NPIs, 9 clinicians

Practice addresses (Care Compare)

1313 N Cheyenne St
Benkelman, NE 69021-3074
Phone (308) 423-2204

427 Legion St
311 Quality Healthcare Services Wauneta
Wauneta, NE 69045-4549
Phone (308) 394-5204

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dundy County Hospital Current Accepting new patients
Dundy County Hospital Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
Dundy County Hospital CurrentSince Nov 1, 2012 Accepting new patients
Sarah Ann Hester Memorial Home Past Accepting new patients

Locations

1313 N Cheyenne St
Benkelman, NE 69021
Phone (308) 423-2151

1313 N Cheyenne St
#626
Benkelman, NE 69021
Phone (308) 423-2204

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/dundyco-ea364493

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wauneta Care and Therapy CenterWauneta, NE, CCN 285220 Skilled nursing facility Operational/Managerial Control Aug 1, 2021
Quality Healthcare Services Medical ClinicStratton, NE, CCN 283441 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Jul 17, 2018
Jul 17, 2018
Quality Healthcare Services Medical ClinicBenkelman, NE, CCN 283442 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Jul 17, 2018
Jul 17, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1982843074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "address_2": "1313 N CHEYENNE STREET",
            "city": "BENKELMAN",
            "state": "NE",
            "postal_code": "69021",
            "telephone_number": "308-423-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 N CHEYENNE STREET",
            "address_2": "BOX 626",
            "city": "BENKELMAN",
            "state": "NE",
            "postal_code": "69021",
            "telephone_number": "308-423-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JOSE",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "25031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benkelman, NE

Sources for this page

Verify at the official NPI Registry.