DR. JULIANNE STOUT MD
NPI 1245276005
Internal Medicine in West Lafayette, IN
NPI Status: Active since June 21, 2006
Contact Information
148 SAGAMORE PKWY W
WEST LAFAYETTE, IN
ZIP 47906
Phone: (765) 314-3515
Fax: (833) 874-0936
- Individual
- Female
- Internal Medicine
- PECOS Enrolled
- CLIA Number: 15D2024668
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-19-2025
About JULIANNE STOUT
This page provides the complete NPI Profile along with additional information for Julianne Stout, an internist established in West Lafayette, Indiana with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1245276005 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X with license number 01068694A (IN). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1245276005
- Provider Name
- DR. JULIANNE STOUT MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 148 SAGAMORE PKWY W WEST LAFAYETTE, IN 47906
- Location Phone
- (765) 314-3515
- Location Fax
- (833) 874-0936
- Mailing Address
- 945 N 400 W WEST LAFAYETTE, IN 47906
- Mailing Phone
- (615) 542-9664
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-21-2006
- Last Update Date
- 11-07-2024
- Code Navigator
An internist like Julianne Stout is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 1700 Dividend Dr
Logansport, IN 46947
(574) 722-7407
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01068694A
- License State
- IN
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 29127 (TN) |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 01068694A (TN) |
Medicare Participation & PECOS Enrollment Status
Julianne Stout is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
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.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 47906 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $122.49
- Minimum New Patient Price $53.07
- Maximum New Patient Price $161.76
- Average New Patient Copayment $30.62
- Minimum New Patient Copayment $13.26
- Maximum New Patient Copayment $40.44
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.22
- Minimum Established Patient Price $16.93
- Maximum Established Patient Price $132.22
- Average Established Patient Copayment $23.55
- Minimum Established Patient Copayment $4.23
- Maximum Established Patient Copayment $33.05
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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
- 15D2024668
- Facility Type
- Physician Office
- Certificate Effective Date
- May 20, 2023
- Certificate Expiration Date
- May 19, 2025
- Laboratory Director
- JULIAN Y. UNGAR-SARGON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Julianne Stout 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.
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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 | 2 | 4 | 5 | 2 | 7 | 6 | 0 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 7 | 12 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 7 + 1 + 2 + 0 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1245276005 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376608026 | CHRISTINE AHL DURBIN L.C.S.W Individual | Social Worker (Clinical) | 148 SAGAMORE PKWY W WEST LAFAYETTE BRA, IN 47906 (765) 463-3016 |
| 1497886949 | NANCY YEATS BRANDT LCSW, DCSW, LMFT, RN Individual | Social Worker (Clinical) | 148 SAGAMORE PKWY W WEST LAFAYETTE BRA, IN 47906 (765) 463-3016 |
| 1427485655 | DR. MONA BAPAT PH.D. Individual | Psychologist | 148 SAGAMORE PKWY W WEST LAFAYETTE, IN 47906 (765) 463-3016 |
| 1427299171 | DR. CHARITY ELIZABETH TABOL PH.D. Individual | Psychologist (Counseling) | 148 SAGAMORE PKWY W WEST LAFAYETTE, IN 47906 (765) 430-9411 |
| 1851597710 | ELIZABETH H. AKEY, PHD PSYCHOLOGIST Organization | Psychologist (Clinical) | 148 SAGAMORE PKWY W WEST LAFAYETTE BRA, IN 47906 (763) 463-3016 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245276005, enumerated in the NPI registry as an "individual" on June 21, 2006
The provider is located at 148 Sagamore Pkwy W West Lafayette, In 47906 and the phone number is (765) 314-3515
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $122.49 with an average copayment of $30.62 for new patient appointments. Established patients should expect a typical charge of $94.22 and an average copayment of 23.55. Please review your insurance plan or contact the provider directly to determine your specific costs.
The provider's CLIA number is 15D2024668 for a "physician office" 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 June 21, 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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