ULTRAMED PRIMARY CARE LTD
NPI 1083103709
Clinic/Center - Primary Care in Skokie, IL

NPI Status: Active since May 08, 2018

Contact Information

5020 DEMPSTER ST
SKOKIE, IL
ZIP 60077
Phone: (847) 423-2264

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  • Organization
  • Clinic/Center
  • Primary Care
  • Accepts Insurance
  • CLIA Number: 14D2128305
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 03-27-2025

About ULTRAMED PRIMARY CARE LTD

This page provides the complete NPI Profile along with additional information for Ultramed Primary Care Ltd, a primary care provider established in Skokie, Illinois operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1083103709 assigned on May 2018. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Holly Hosey (Office Manager)

NPI
1083103709
Provider Name
ULTRAMED PRIMARY CARE LTD
Entity Type
Organization
Location Address
5020 DEMPSTER ST SKOKIE, IL 60077
Location Phone
(847) 423-2264
Mailing Address
5020 DEMPSTER ST SKOKIE, IL 60077
Mailing Phone
(847) 423-2264
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2018
Last Update Date
05-08-2018
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A primary care provider (PCP) like Ultramed Primary Care Ltd sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HOLLY HOSEY

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(847) 423-2264

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2128305
Facility Type
Other - URGENT CARE
Certificate Effective Date
March 28, 2023
Certificate Expiration Date
March 27, 2025
Laboratory Director
RAJAN KHURANA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ultramed Primary Care Ltd to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ULTRAMED PRIMARY CARE LTD

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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.
1083103709
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2016320670
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 2 + 0 + 6 + 7 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1083103709 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124569942ULTRAMED URGENT CARE, LTD
Organization
Clinic/Center (Urgent Care)5020 DEMPSTER ST
SKOKIE, IL 60077
(847) 423-2264
1619450871MS. CHRISTINA CHAMAKALA
Individual
Physician Assistant5020 DEMPSTER ST
SKOKIE, IL 60077
(847) 423-2264
1730890468 JULIA NELLAMATTOM PA-C
Individual
Physician Assistant5020 DEMPSTER ST
SKOKIE, IL 60077
(847) 423-2264

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083103709, enumerated in the NPI registry as an "organization" on May 08, 2018

The provider is located at 5020 Dempster St Skokie, Il 60077 and the phone number is (847) 423-2264

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider might be accepting Accepts: Aetna CVS Health and Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 14D2128305 for a "other - urgent care" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 08, 2018. 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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