PREMIER DIABETES ENDOCRINOLOGY, PA
NPI 1275698532
Clinic/Center - Medical Specialty in Carrollton, TX
NPI Status: Active since December 27, 2006
Contact Information
4100 FAIRWAY DR STE 620
CARROLLTON, TX
ZIP 75010
Phone: (972) 492-9901
Fax: (972) 492-9902
- Organization
- Clinic/Center
- Medical Specialty
About PREMIER DIABETES ENDOCRINOLOGY, PA
This page provides the complete NPI Profile along with additional information for Premier Diabetes Endocrinology, Pa, a provider established in Carrollton, Texas operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1275698532 assigned on December 2006. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Ted Obialo (Manager)
- NPI
- 1275698532
- Provider Name
- PREMIER DIABETES ENDOCRINOLOGY, PA
- Entity Type
- Organization
- Location Address
- 4100 FAIRWAY DR STE 620 CARROLLTON, TX 75010
- Location Phone
- (972) 492-9901
- Location Fax
- (972) 492-9902
- Mailing Address
- PO BOX 378 COPPELL, TX 75019
- Mailing Phone
- (972) 492-9901
- Mailing Fax
- (972) 492-9902
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-27-2006
- Last Update Date
- 04-08-2011
- 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
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- 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:
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.
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 |
|---|---|---|---|
| 0011LM | OTHER (01) | TX | BCBS |
| 167630601 | MEDICAID (05) | TX | |
| 00122X | MEDICARE PIN (08) | TX |
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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 | 7 | 5 | 6 | 9 | 8 | 5 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 12 | 9 | 16 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 2 + 9 + 1 + 6 + 5 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1275698532 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1003198284 | ESTHER WANGARI MUNGAI NP Individual | Nurse Practitioner (Family) | 4100 FAIRWAY DR STE 620 CARROLLTON, TX 75010 (972) 492-9901 |
| 1952300444 | EBELE ELIZABETH OBIALO MD Individual | Internal Medicine | 4100 FAIRWAY DR STE 620 CARROLLTON, TX 75010 (972) 492-9901 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275698532, enumerated in the NPI registry as an "organization" on December 27, 2006
The provider is located at 4100 Fairway Dr Ste 620 Carrollton, Tx 75010 and the phone number is (972) 492-9901
This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty
The provider might be accepting Accepts: Blue Cross Blue Shield, 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 December 27, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.