DR. CLAIRE SUSAN DUGGAL M.D.
NPI 1164682746
Surgery - Plastic and Reconstructive Surgery in Annapolis, MD

NPI Status: Active since June 17, 2008

Contact Information

621 RIDGELY AVE 401
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 544-9988
Fax: (410) 544-9994

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  • Individual
  • Female
  • Surgery
  • Plastic and Reconstructive Surgery
  • Opted-Out Medicare

About CLAIRE DUGGAL

This page provides the complete NPI Profile along with additional information for Claire Duggal, a provider established in Annapolis, Maryland with a medical specialization in Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1164682746 assigned on June 2008. The practitioner's primary taxonomy code is 2086S0122X with license number 67921 (GA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1164682746
Provider Name
DR. CLAIRE SUSAN DUGGAL M.D.
Gender
Female
Entity Type
Individual
Location Address
621 RIDGELY AVE 401 ANNAPOLIS, MD 21401
Location Phone
(410) 544-9988
Location Fax
(410) 544-9994
Mailing Address
621 RIDGELY AVE 401 ANNAPOLIS, MD 21401
Mailing Phone
(410) 544-9988
Mailing Fax
(410) 544-9994
Is Sole Proprietor?
Yes
Enumeration Date
06-17-2008
Last Update Date
07-09-2015
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Claire Duggal opted out of Medicare effective on 04-01-2021 until 04-01-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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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

Surgery Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
License No.
67921
License State
GA
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 04-01-2021

  • Opt-Out End Date: 04-01-2025

  • Eligible to Order and Refer? No

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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.
1164682746
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124128478
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 2 + 8 + 4 + 7 + 8 + 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 = 66

The NPI number 1164682746 is valid because the calculated check digit 6 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 1164682746, enumerated in the NPI registry as an "individual" on June 17, 2008

The provider is located at 621 Ridgely Ave 401 Annapolis, Md 21401 and the phone number is (410) 544-9988

The provider's speciality is Surgery with taxonomy code 2086S0122X with a focus in Plastic and Reconstructive Surgery

No, the provider signed an affidavit on April 01, 2021 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 01, 2025.

This NPI record was last updated on June 17, 2008. 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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