DR. DAGIM DESTA MD
NPI 1366024978
Internal Medicine in Staten Island, NY

NPI Status: Active since April 22, 2021

Contact Information

355 BARD AVENUE DEPT. OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND, NY
ZIP 10310
Phone: (718) 818-2419

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  • Individual
  • Male
  • Internal Medicine

About DAGIM DESTA

This page provides the complete NPI Profile along with additional information for Dagim Desta, an internist established in Staten Island, New York with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1366024978 assigned on April 2021. The practitioner's primary taxonomy code is 207R00000X with license number 102742 (GA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1366024978
Provider Name
DR. DAGIM DESTA MD
Gender
Male
Entity Type
Individual
Location Address
355 BARD AVENUE DEPT. OF MEDICINE VILLA BLDG 1ST FLOOR STATEN ISLAND, NY 10310
Location Phone
(718) 818-2419
Mailing Address
355 BARD AVENUE DEPT. OF MEDICINE VILLA BLDG 1ST F STATEN ISLAND, NY 10310
Mailing Phone
(718) 818-2419
Is Sole Proprietor?
No
Enumeration Date
04-22-2021
Last Update Date
12-24-2024
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An internist like Dagim Desta 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.

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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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
102742
License State
GA
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)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

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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.
1366024978
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126028914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 0 + 2 + 8 + 9 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1366024978 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366024978, enumerated in the NPI registry as an "individual" on April 22, 2021

The provider is located at 355 Bard Avenue Dept. Of Medicine Villa Bldg 1st Floor Staten Island, Ny 10310 and the phone number is (718) 818-2419

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

This NPI record was last updated on April 22, 2021. 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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