MANUS PRASERTHDAM,M.D.,P.A
NPI 1376770826
Specialist in St Petersburg, FL

NPI Status: Active since June 11, 2009

Contact Information

1201 5TH AVE N STE 208
ST PETERSBURG, FL
ZIP 33705
Phone: (727) 894-1122
Fax: (727) 894-0033

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  • Organization
  • Specialist

About MANUS PRASERTHDAM,M.D.,P.A

This page provides the complete NPI Profile along with additional information for Manus Praserthdam,m.d.,p.a, a provider established in St Petersburg, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1376770826 assigned on June 2009. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 16 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 authorized official of this NPI record is Dr. Manus Praserthdam M.d. (Owner)

NPI
1376770826
Provider Name
MANUS PRASERTHDAM,M.D.,P.A
Entity Type
Organization
Location Address
1201 5TH AVE N STE 208 ST PETERSBURG, FL 33705
Location Phone
(727) 894-1122
Location Fax
(727) 894-0033
Mailing Address
1201 5TH AVE N STE 208 ST PETERSBURG, FL 33705
Mailing Phone
(727) 894-1122
Mailing Fax
(727) 894-0033
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2009
Last Update Date
06-11-2009
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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:

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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MANUS PRASERTHDAM M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(727) 894-1122

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
D57315MEDICARE UPIN (02)FL 
62149MEDICAID (05)FL 
3106012OTHER (01)FLUNITED HEALTHCARE
0184828OTHER (01)FLCIGNA
0666950OTHER (01)FLAETNA
212769OTHER (01)FLAMERIGROUP

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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.
1376770826
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23146147084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 4 + 7 + 0 + 8 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1376770826 is valid because the calculated check digit 6 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 1376770826, enumerated in the NPI registry as an "organization" on June 11, 2009

The provider is located at 1201 5th Ave N Ste 208 St Petersburg, Fl 33705 and the phone number is (727) 894-1122

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare, Medicaid, Cigna, Aetna and Amerigroup. 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 June 11, 2009. 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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