DR. VAN SHANTHARAM M.D.
NPI 1164497186
Specialist in Jacksonville, FL
NPI Status: Active since February 22, 2006
Contact Information
2585 HERSCHEL ST
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 388-2678
Fax: (904) 388-6776
- Individual
- Male
- Specialist
About VAN SHANTHARAM
This page provides the complete NPI Profile along with additional information for Van Shantharam, a provider established in Jacksonville, Florida with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1164497186 assigned on February 2006. The practitioner's primary taxonomy code is 174400000X with license number ME0035945 (FL). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1164497186
- Provider Name
- DR. VAN SHANTHARAM M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2585 HERSCHEL ST JACKSONVILLE, FL 32204
- Location Phone
- (904) 388-2678
- Location Fax
- (904) 388-6776
- Mailing Address
- 2585 HERSCHEL ST JACKSONVILLE, FL 32204
- Mailing Phone
- (904) 388-2678
- Mailing Fax
- (904) 388-6776
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-22-2006
- Last Update Date
- 07-08-2007
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- ME0035945
- License State
- FL
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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 |
|---|---|---|---|
| A87463 | MEDICARE UPIN (02) | FL | |
| 06999340 | MEDICAID (05) | FL | |
| 15550Z | MEDICARE ID-TYPE UNSPECIFIED (04) | FL |
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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 | 1 | 6 | 4 | 4 | 9 | 7 | 1 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 8 | 9 | 14 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 8 + 9 + 1 + 4 + 1 + 1 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1164497186 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467471672 | CLINIC FOR KIDNEY DISEASES PA Organization | Internal Medicine (Nephrology) | 2585 HERSCHEL ST JACKSONVILLE, FL 32204 (904) 388-2678 |
| 1295940294 | DR. SHAUN MAGBUHAT AURE M.D. Individual | Internal Medicine (Nephrology) | 2585 HERSCHEL ST JACKSONVILLE, FL 32204 (904) 388-2678 |
| 1669643508 | ANNE CHRISTINE GAUCHER PA-C Individual | Physician Assistant (Medical) | 2585 HERSCHEL ST JACKSONVILLE, FL 32204 (904) 388-2678 |
| 1023243888 | PRASANTH KRISH M.D. Individual | Internal Medicine (Nephrology) | 2585 HERSCHEL ST JACKSONVILLE, FL 32204 (904) 388-2678 |
| 1114992153 | DR. NILAY NAHAR M.D. Individual | Internal Medicine (Nephrology) | 2585 HERSCHEL ST JACKSONVILLE, FL 32204 (904) 388-2678 |
| 1639145352 | DR. BRIJENDRA K GUPTA M.D. Individual | Internal Medicine (Nephrology) | 2585 HERSCHEL ST JACKSONVILLE, FL 32204 (904) 388-2678 |
| 1770155830 | FLORIDA KIDNEY PHYSICIANS, LLC Organization | Internal Medicine (Nephrology) | 2585 HERSCHEL ST JACKSONVILLE, FL 32204 (904) 388-2678 |
| 1144936667 | PERRI SCHELLENBERG MS, RDN, LDN Individual | Dietitian, Registered | 2585 HERSCHEL ST JACKSONVILLE, FL 32204 (904) 388-2678 |
| 1467427492 | DR. DINESH JAYADEVAPPA M.D. Individual | Internal Medicine (Nephrology) | 2585 HERSCHEL ST JACKSONVILLE, FL 32204 (904) 388-2678 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164497186, enumerated in the NPI registry as an "individual" on February 22, 2006
The provider is located at 2585 Herschel St Jacksonville, Fl 32204 and the phone number is (904) 388-2678
The provider's speciality is Specialist with taxonomy code 174400000X
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 February 22, 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].
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