SALLY KNOOIHUIZEN MD
NPI 1164943171
Internal Medicine - Gastroenterology in Lincoln, NE

Active since June 29, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4545 R ST, LINCOLN, NE 68503(402) 465-4545(402) 465-9011 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2023, Nov 9, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Sally Knooihuizen Md NPPES

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

SALLY KNOOIHUIZEN MD (NPI 1164943171) is an individual gastroenterology provider in Lincoln, Nebraska, licensed in Nebraska (35811) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2017).

NPPES Registry Identity

NPI1164943171
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameSALLY KNOOIHUIZENCredential: MD
Location Address4545 R STLincoln, NE 68503-3799
Mailing Address4545 R StLincoln, NE 68503-3799 · (402) 465-4545
Fax(402) 465-9011
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2017
Enumeration DateJune 29, 2017
Last NPPES UpdateOctober 16, 20234 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
NPI 1164943171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NE · 35811
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4545 R ST, Lincoln, NE 68503

Accepted 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

Sally Knooihuizen 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 ID8628341831
PECOS Enrollment IDI20230818001815
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 15

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.

Injection, vedolizumab, intravenous, 1 mg J3380
Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.
12,300 services30 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
1,640 services26 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
111 services109 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.
77 services50 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
68 services63 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.
51 services51 patients

Hospital Affiliations CMS Care Compare 4

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas 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

Mary Lanning Healthcare

Acute Care Hospitals · Hastings, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number280032
Location715 N St Joseph AveHastings, NE 68901 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68503 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
4545 R ST, SUITE 100
LINCOLN, NE 68503
Internal Medicine (Gastroenterology)
4545 R ST
LINCOLN, NE 68503
Nurse Practitioner
4545 R ST
LINCOLN, NE 68503
Specialist
4545 R ST
LINCOLN, NE 68503
Internal Medicine (Gastroenterology)
4545 R ST
LINCOLN, NE 68503
Specialist
4545 R ST
LINCOLN, NE 68503
Nurse Practitioner (Family)
4545 R ST
LINCOLN, NE 68503
Physician Assistant (Medical)
4545 R ST, 100
LINCOLN, NE 68503

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 Sally Knooihuizen's NPI number?

The NPI number for Sally Knooihuizen is 1164943171. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Sally Knooihuizen located?

Sally Knooihuizen practices at 4545 R St, Lincoln, NE 68503. The listed phone number is (402) 465-4545.

What is Sally Knooihuizen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sally Knooihuizen enrolled in Medicare?

Yes. Sally Knooihuizen 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 Sally Knooihuizen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Sally Knooihuizen 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 Sally Knooihuizen affiliated with any hospitals?

According to CMS data, Sally Knooihuizen is affiliated with Bryan Medical Center, The Nebraska Medical Center, Chi Health St. Elizabeth and Mary Lanning Healthcare.

When was this NPI record last updated?

The NPPES record for Sally Knooihuizen was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.