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Active NPI 1336036193 Individual Practitioner Male Practitioner

John Matthew Kroll

Clinic/Center - Developmental Disabilities • Omaha, NE

Professional Overview & Biography Verified Profile Summary

John Kroll is a registered healthcare professional specializing in Clinic/Center - Developmental Disabilities in Omaha, NE. Practice services are available at 9210 S 168TH AVENUE CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9210 S 168th Avenue Cir

Omaha, NE 681361624

Telephone 4022907916

Specialty Benchmarks & Practice Insights

Comparative analytics for Clinic/Center - Developmental Disabilities in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
42 Specialists

Practicing in Omaha, NE (115 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-23
Clinic/Center - Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 261QD1600X

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active June 23, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2025

Registered at 9210 S 168TH AVENUE CIR, OMAHA, NE 681361624 (Tel: 4022907916)

📍
Updated Business Mailing Address June 23, 2025

Registered at 9210 S 168TH AVENUE CIR, OMAHA, NE 681361624 (Tel: 4022907916)

👤
Provider Name / Credentials Updated June 23, 2025

Recorded as JOHN KROLL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2025

Clinic/Center

🟢
Initial NPI Registration & Enumeration June 23, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336036193
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2025
Last Update: June 23, 2025
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

9210 S 168th Avenue Cir

Omaha, NE 681361624

Phone: 4022907916

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.