NPI Details
MR. Brett Van Kettelhut, M.D. is an allergy immunology in Omaha, NE with 44 years of experience. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. MR. Brett Van Kettelhut, M.D. NPI is 1538151204. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:1982
The provider's business location address is:
2808 S 80 AVE
STE 210
OMAHA, NE
ZIP 68124-253
Phone: (402) 391-1800
Fax: (402) 391-1563
The NPI 1538151204 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Test for allergy using allergenic extract (HCPCS:95004)
- Professional service for multiple injections of allergen (HCPCS:95117)
- Test for allergy using skin patch (HCPCS:95044)
- Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Professional service for single injection of allergen (HCPCS:95115)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Test for allergy using combination of methods with drug or biological (HCPCS:95018)
- Test to measure expiratory airflow and volume (HCPCS:94010)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
The enumeration date for this NPI number is 8/18/2005 and was last updated on 6/30/2011.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207KI0005X | Allergy & Immunology | Clinical & Laboratory Immunology | 21408 | NEBRASKA | No |
| 2 | 207K00000X | Allergy & Immunology | | 21408 | NEBRASKA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | A82958 | MEDICARE UPIN | | |
| 2 | 272799 | MEDICARE ID-TYPE UNSPECIFIED | NEBRASKA | NE MEDICARE |
| 3 | 47060801514 | MEDICAID | NEBRASKA | |
| 4 | 47060801504 | MEDICAID | NEBRASKA | |
