DECATUR DIGESTIVE DISEASE CENTER LLC
NPI 1134185564
Clinic/Center - Ambulatory Surgical in Decatur, IL

NPI Status: Active since April 25, 2006

Contact Information

2 MEMORIAL DR SUITE 102
PHYSICIAN PLAZA WEST
DECATUR, IL
ZIP 62526
Phone: (217) 233-0003
Fax: (217) 233-0077

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About DECATUR DIGESTIVE DISEASE CENTER LLC

This page provides the complete NPI Profile along with additional information for Decatur Digestive Disease Center Llc, a provider established in Decatur, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1134185564 assigned on April 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 7002983 (IL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Victor Eloy Md (Medical Director)

NPI
1134185564
Provider Name
DECATUR DIGESTIVE DISEASE CENTER LLC
Entity Type
Organization
Location Address
2 MEMORIAL DR SUITE 102 PHYSICIAN PLAZA WEST DECATUR, IL 62526
Location Phone
(217) 233-0003
Location Fax
(217) 233-0077
Mailing Address
2 MEMORIAL DR SUITE 102 PHYSICIAN PLAZA WEST DECATUR, IL 62526
Mailing Phone
(217) 233-0003
Mailing Fax
(217) 233-0077
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2006
Last Update Date
04-01-2013
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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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
7002983
License State
IL

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.

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.

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

VICTOR ELOY MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(217) 233-0003

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
=========001MEDICAID (05)IL 
P00257307OTHER (01)ILMEDICARE RAILROAD
50402OTHER (01)ILBLUE CROSS BLUE SHIELD
212201MEDICARE ID-TYPE UNSPECIFIED (04)IL 

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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.
1134185564
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21642810512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 8 + 1 + 0 + 5 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1134185564 is valid because the calculated check digit 4 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 1134185564, enumerated in the NPI registry as an "organization" on April 25, 2006

The provider is located at 2 Memorial Dr Suite 102 Physician Plaza West Decatur, Il 62526 and the phone number is (217) 233-0003

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare and Blue. 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 April 25, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.