ADDICTION WELLNESS SERVICES INC
NPI 1467966853
Anesthesiology - Pediatric Anesthesiology in Loves Park, IL

NPI Status: Active since November 22, 2017

Contact Information

5504 N 2ND ST
LOVES PARK, IL
ZIP 61111
Phone: (815) 997-4516

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  • Organization
  • Anesthesiology
  • Pediatric Anesthesiology
  • Accepts Insurance

About ADDICTION WELLNESS SERVICES INC

This page provides the complete NPI Profile along with additional information for Addiction Wellness Services Inc, a provider established in Loves Park, Illinois operating as a Anesthesiology, focusing in pediatric anesthesiology . The healthcare provider is registered in the NPI registry with number 1467966853 assigned on November 2017. The practitioner's primary taxonomy code is 207LP3000X with license number MD438154 (PA). The provider is registered as an organization and their NPI record was last updated 7 years ago. Addiction Wellness Services Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Gagandeep Goyal Md (President)

NPI
1467966853
Provider Name
ADDICTION WELLNESS SERVICES INC
Entity Type
Organization
Location Address
5504 N 2ND ST LOVES PARK, IL 61111
Location Phone
(815) 997-4516
Mailing Address
3824 NORTHERN PIKE STE 600 MONROEVILLE, PA 15146
Mailing Phone
(412) 457-0175
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2017
Last Update Date
01-29-2019
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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

Anesthesiology Pediatric Anesthesiology

Taxonomy Code
207LP3000X
Type
Allopathic & Osteopathic Physicians
License No.
MD438154
License State
PA
Taxonomy Description
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
  • 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
  • Blue KC Catastrophic BlueSelect EPO - EPO
  • Blue KC Choice Bronze 2 BlueSelect EPO with Spira Care - EPO
  • Blue KC Choice Silver 1 BlueSelect EPO with Spira Care - EPO
  • Blue KC Choice Silver BlueSelect Plus EPO with Spira Care - EPO
  • Blue KC Community Silver Preferred-Care Blue EPO - EPO
  • Blue KC First Bronze Preferred-Care Blue EPO - EPO
  • Blue KC Saver Bronze Preferred-Care Blue EPO - EPO
  • Blue KC Standard Bronze BlueSelect EPO - EPO
  • Blue KC Standard Bronze Preferred-Care Blue EPO - EPO
  • Blue KC Standard Gold Preferred-Care Blue EPO - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO
  • Sanford Individual TRUE $1,750 - HMO

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. GAGANDEEP GOYAL MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(267) 226-4760

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
036144684OTHER (01)ILIL LICENSE
MD438154OTHER (01)PAPA LICENSE

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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.
1467966853
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2412718612810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 8 + 6 + 1 + 2 + 8 + 1 + 0 + 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 = 33

The NPI number 1467966853 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
1083906382 GAGANDEEP GOYAL MD
Individual
Internal Medicine (Addiction Medicine)5504 N 2ND ST
LOVES PARK, IL 61111
(815) 977-4516

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467966853, enumerated in the NPI registry as an "organization" on November 22, 2017

The provider is located at 5504 N 2nd St Loves Park, Il 61111 and the phone number is (815) 997-4516

This medical organization specializes in Anesthesiology with taxonomy code 207LP3000X with a focus in Pediatric Anesthesiology

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. 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 November 22, 2017. 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.