MD RENAL GROUP LLC
NPI 1043595291
Exclusive Provider Organization in Aguadilla, PR
NPI Status: Active since October 19, 2011
Contact Information
AVENUE SEVERIANO CUEVAS 18
HOSPITAL BUEN SAMARITANO GROUND FLOOR
AGUADILLA, PR
ZIP 00605
Phone: (787) 997-0101
- Organization
- Exclusive Provider Organization
About MD RENAL GROUP LLC
This page provides the complete NPI Profile along with additional information for Md Renal Group Llc, a provider established in Aguadilla, Puerto Rico operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1043595291 assigned on October 2011. The practitioner's primary taxonomy code is 302F00000X with license number 17129 (PR). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's former legal business name is Md Renal Group Llc. The authorized official of this NPI record is Prof. Mayra I Santiago M.a. (Administrative Chief Officer)
- NPI
- 1043595291
- Provider Legal Name
- MD RENAL GROUP LLC
- Other Organization Name
- MD RENAL GROUP LLC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- AVENUE SEVERIANO CUEVAS 18 HOSPITAL BUEN SAMARITANO GROUND FLOOR AGUADILLA, PR 00605
- Location Phone
- (787) 997-0101
- Mailing Address
- PO BOX 667 MOCA, PR 00676
- Mailing Phone
- (787) 997-0101
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-19-2011
- Last Update Date
- 08-14-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Exclusive Provider Organization
- Taxonomy Code
- 302F00000X
- Type
- Managed Care Organizations
- License No.
- 17129
- License State
- PR
- Taxonomy Description
- (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1043595291 | OTHER (01) | PR | NPI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 5 | 9 | 5 | 2 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 10 | 9 | 10 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 1 + 0 + 9 + 1 + 0 + 2 + 1 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1043595291 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043595291, enumerated in the NPI registry as an "organization" on October 19, 2011
The provider is located at Avenue Severiano Cuevas 18 Hospital Buen Samaritano Ground Floor Aguadilla, Pr 00605 and the phone number is (787) 997-0101
This medical organization specializes in Exclusive Provider Organization with taxonomy code 302F00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 19, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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