SUSAN R. BAILEY, M.D.P.A.
NPI 1184886640
Clinic/Center - Medical Specialty in Fort Worth, TX

NPI Status: Active since June 26, 2008

Contact Information

5929 LOVELL AVE
FORT WORTH, TX
ZIP 76107
Phone: (817) 315-2550
Fax: (817) 732-4660

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • Accepts Insurance

About SUSAN R. BAILEY, M.D.P.A.

This page provides the complete NPI Profile along with additional information for Susan R. Bailey, M.d.p.a., a provider established in Fort Worth, Texas operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1184886640 assigned on June 2008. The practitioner's primary taxonomy code is 261QM2500X with license number G0037 (TX). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ellen Rogers (Insurance Supervisor)

NPI
1184886640
Provider Name
SUSAN R. BAILEY, M.D.P.A.
Entity Type
Organization
Location Address
5929 LOVELL AVE FORT WORTH, TX 76107
Location Phone
(817) 315-2550
Location Fax
(817) 732-4660
Mailing Address
5929 LOVELL AVE FORT WORTH, TX 76107
Mailing Phone
(817) 315-2550
Mailing Fax
(817) 732-4660
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-26-2008
Last Update Date
12-31-2008
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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 Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
G0037
License State
TX
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

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

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

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

ELLEN ROGERS

Authorized Official Title
INSURANCE SUPERVISOR
Authorized Official Phone
(817) 315-2550

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
032156401MEDICAID (05)TX 
D87498MEDICARE UPIN (02)TX 
00Z631MEDICARE PIN (08)TX 

Reviews for SUSAN R. BAILEY, M.D.P.A.

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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.
1184886640
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211641681268
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 6 + 8 + 1 + 2 + 6 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1184886640 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578725032NORMAND F. TREMBLAY, M.D. P.A.
Organization
Clinic/Center (Medical Specialty)5929 LOVELL AVE
FORT WORTH, TX 76107
(817) 315-2550
1699138305FORT WORTH ALLERGY AND ASTHMA ASSOCIATES, LLP
Organization
Clinic/Center (Medical Specialty)5929 LOVELL AVE
FORT WORTH, TX 76107
(817) 315-2550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184886640, enumerated in the NPI registry as an "organization" on June 26, 2008

The provider is located at 5929 Lovell Ave Fort Worth, Tx 76107 and the phone number is (817) 315-2550

This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty

The provider might be accepting Accepts: Molina Healthcare, 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 June 26, 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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