OrganizationActive
Pine Lake Intensity-Modulated
NPI 1174674691 · Radiation Oncology Clinic/Center · Lincoln, NE
Provider details
- NPI number
- 1174674691
- Entity type
- Organization
- Primary specialty
- Radiation Oncology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bennett Barrios, Managing Member(402) 327-7300
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3901 Pine Lake Rd
Suite 111
Lincoln, NE 68516-5497
Phone: (402) 481-6090
Street-level locationGet directions
Mailing address
3901 Pine Lake Rd
Lincoln, NE 68516-5497
Other names (DBA / former)
- Doing business as
- Pine Lake Imrt
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2009-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.