MGM MEDICAL GROUP MANAGEMENT LLC
NPI 1265866693
Exclusive Provider Organization in Cutler Bay, FL
NPI Status: Active since August 21, 2013
Contact Information
8318 SW 193RD ST
CUTLER BAY, FL
ZIP 33157
Phone: (786) 395-1165
- Organization
- Exclusive Provider Organization
About MGM MEDICAL GROUP MANAGEMENT LLC
This page provides the complete NPI Profile along with additional information for Mgm Medical Group Management Llc, a provider established in Cutler Bay, Florida operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1265866693 assigned on August 2013. The practitioner's primary taxonomy code is 302F00000X. 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 Mr. Mario Armando Espino Jr. (Ceo/president)
- NPI
- 1265866693
- Provider Name
- MGM MEDICAL GROUP MANAGEMENT LLC
- Entity Type
- Organization
- Location Address
- 8318 SW 193RD ST CUTLER BAY, FL 33157
- Location Phone
- (786) 395-1165
- Mailing Address
- 8318 SW 193RD ST CUTLER BAY, FL 33157
- Mailing Phone
- (786) 395-1165
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-21-2013
- Last Update Date
- 08-21-2013
- 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
Exclusive Provider Organization
- Taxonomy Code
- 302F00000X
- Type
- Managed Care Organizations
- Taxonomy Description
- (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
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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 | 6 | 5 | 8 | 6 | 6 | 6 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 16 | 6 | 12 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 6 + 6 + 1 + 2 + 6 + 1 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1265866693 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619303112 | MGM IPA DADE 001 LLC Organization | Internal Medicine | 8318 SW 193RD ST CUTLER BAY, FL 33157 (305) 964-5119 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265866693, enumerated in the NPI registry as an "organization" on August 21, 2013
The provider is located at 8318 Sw 193rd St Cutler Bay, Fl 33157 and the phone number is (786) 395-1165
This medical organization specializes in Exclusive Provider Organization with taxonomy code 302F00000X
This NPI record was last updated on August 21, 2013. 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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