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DR. SIJU N MICHAEL MD
NPI 1104302918
Family Medicine in Lincoln, NE

Active since July 15, 2018PECOS EnrolledAccepts Medicare Assignment
555 S 70TH ST, LINCOLN, NE 68510(402) 219-8747(402) 219-8748 Get Directions Write a Review

NPPES record last updated: July 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2021, Jul 14, 2021, Jul 15, 2018 (3 updates tracked since 2018).

About Dr. Siju N Michael Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SIJU N MICHAEL MD (NPI 1104302918) is an individual family medicine provider in Lincoln, Nebraska, licensed in Nebraska (33510) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Northwest Health - Porter, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1104302918
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SIJU N MICHAELCredential: MD
Location Address555 S 70TH STLincoln, NE 68510-2462
Mailing Address555 S 70th StLincoln, NE 68510-2462 · (402) 219-8747 · Fax (402) 219-8748
Phone(402) 219-8747
Fax(402) 219-8748
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 15, 2018
Last NPPES UpdateJuly 31, 20213 updates tracked since enumeration
NPPES CertifiedJuly 31, 2021
✔ NPI 1104302918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NE · 33510✔ Licensed in NE · 8258
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
555 S 70TH ST, Lincoln, NE 68510
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Siju N Michael Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991057002
PECOS Enrollment IDI20210721001007, I20251222000257
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
485 services210 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
121 services116 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
116 services69 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
115 services114 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services20 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services16 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County
Emergency services Birthing friendly

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280020
Location555 South 70th StLincoln, NE 68510 · Lancaster County
Emergency services Birthing friendly

Chi Health Nebraska Heart

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280128
Location7500 South 91st StLincoln, NE 68526 · Lancaster County

Crete Area Medical Center

Critical Access Hospitals · Crete, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281354
LocationP O Box 220, 2910 Betten DrCrete, NE 68333 · Saline County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68510 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$16.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$83.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY ANN VLCAN APRN
Nurse Practitioner (Neonatal)
555 S 70TH ST
LINCOLN, NE 68510
Lancaster County (402) 219-7619
EMILY NOEL STUTZMAN CRNA
Nurse Anesthetist, Certified Registered
555 S 70TH ST
LINCOLN, NE 68510
Lancaster County (402) 219-8000
TED M TRIGGS DO
Internal Medicine
555 S 70TH ST
LINCOLN, NE 68510
Lancaster County (402) 219-8747
DEBORAH M EBERSPACHER MPT
Physical Medicine & Rehabilitation
555 S 70TH ST, RM 2504
LINCOLN, NE 68510
Lancaster County (402) 219-7498
TRACY L SLOCUM FARRITOR MD
Internal Medicine
555 S 70TH ST
LINCOLN, NE 68510
Lancaster County (402) 219-8747
JANELL R WALKER MPT
Physical Medicine & Rehabilitation
555 S 70TH ST, RM 2504
LINCOLN, NE 68510
Lancaster County (402) 219-7498
DR. REBECCA EILEEN CHRISTENSEN MD
Anesthesiology
555 S 70TH ST
LINCOLN, NE 68510
Lancaster County (402) 434-5600
JILL C WEBB OTR L
Occupational Therapist
555 S 70TH ST, RM 2504
LINCOLN, NE 68510
Lancaster County (402) 219-7498

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Siju Michael's NPI number?

The NPI number for Siju Michael is 1104302918. It was assigned to this individual provider in the NPPES registry on July 15, 2018.

Where is Siju Michael located?

Siju Michael practices at 555 S 70th St, Lincoln, NE 68510. The listed phone number is (402) 219-8747.

What is Siju Michael's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Siju Michael enrolled in Medicare?

Yes. Siju Michael is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Siju Michael accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Siju Michael as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Siju Michael affiliated with any hospitals?

According to CMS data, Siju Michael is affiliated with Northwest Health - Porter, Chi Health St. Elizabeth, Chi Health Nebraska Heart and Crete Area Medical Center.

When was this NPI record last updated?

The NPPES record for Siju Michael was last updated on July 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.