LAKESHORE UROLOGY
NPI 1316049166
Urology in Chicago, IL
NPI Status: Active since September 02, 2006
Contact Information
2674 N HALSTED ST
CHICAGO, IL
ZIP 60614
Phone: (773) 868-1800
Fax: (773) 868-4072
- Organization
- Urology
- Accepts Insurance
About LAKESHORE UROLOGY
This page provides the complete NPI Profile along with additional information for Lakeshore Urology, a provider established in Chicago, Illinois operating as a Urology. The healthcare provider is registered in the NPI registry with number 1316049166 assigned on September 2006. The practitioner's primary taxonomy code is 208800000X with license number 036053086 (IL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Lakeshore Urology. The authorized official of this NPI record is Dr. Balakrishna Sundar M.d. (President)
- NPI
- 1316049166
- Provider Legal Name
- BALKRISHNA SUNDAR MD SC
- Other Organization Name
- LAKESHORE UROLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2674 N HALSTED ST CHICAGO, IL 60614
- Location Phone
- (773) 868-1800
- Location Fax
- (773) 868-4072
- Mailing Address
- PO BOX 798 PARK RIDGE, IL 60068
- Mailing Phone
- (847) 692-6218
- Mailing Fax
- (773) 868-4072
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-02-2006
- Last Update Date
- 10-23-2008
- 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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036053086
- License State
- IL
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
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 |
|---|---|---|---|
| 636261 | MEDICARE PIN (08) | IL | |
| DH1341 | OTHER (01) | PALMETTO GBA | |
| 791342246 | OTHER (01) | PALMETTO GBA | |
| 21609137 | OTHER (01) | BC/BS | |
| 036053086 | MEDICAID (05) | IL |
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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 | 3 | 1 | 6 | 0 | 4 | 9 | 1 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 0 | 4 | 18 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 0 + 4 + 1 + 8 + 1 + 1 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1316049166 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164402533 | JOANNE B DAVIS DPM Individual | Podiatrist | 2674 N HALSTED ST CHICAGO, IL 60614 (773) 327-3008 |
| 1245317908 | DR. AKHIL VENKATESH JAGADEESH DMD Individual | Dentist (General Practice) | 2674 N HALSTED ST CHICAGO, IL 60614 (773) 348-3384 |
| 1245402114 | AKHIL V JAGADEESH P.C. Organization | Dentist | 2674 N HALSTED ST CHICAGO, IL 60614 (773) 348-3384 |
| 1124437033 | INTEGRATED PAIN MANAGEMENT (LINCOLN PARK) LTD Organization | Specialist | 2674 N HALSTED ST CHICAGO, IL 60614 (773) 235-8000 |
| 1598895872 | JOANNE DAVIS DPM Organization | Podiatrist (Primary Podiatric Medicine) | 2674 N HALSTED ST CHICAGO, IL 60614 (773) 327-3008 |
| 1447845144 | IYENGAR GERIATRIC HOSPITALIST SC Organization | Internal Medicine (Geriatric Medicine) | 2674 N HALSTED ST CHICAGO, IL 60614 (773) 697-3729 |
| 1013753821 | IYENGAR GERIATRIC HOSPITALIST SC Organization | Internal Medicine (Geriatric Medicine) | 2674 N HALSTED ST CHICAGO, IL 60614 (773) 697-3729 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316049166, enumerated in the NPI registry as an "organization" on September 02, 2006
The provider is located at 2674 N Halsted St Chicago, Il 60614 and the phone number is (773) 868-1800
This medical organization specializes in Urology with taxonomy code 208800000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare,. 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 September 02, 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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