STAR STATE HEART & VASCULAR PLLC
NPI 1477884740
Internal Medicine - Interventional Cardiology in Lakeway, TX
NPI Status: Active since January 26, 2010
Contact Information
200 MEDICAL PKWY
SUITE 270
LAKEWAY, TX
ZIP 78738
Phone: (512) 263-0123
Fax: (512) 367-5841
- Organization
- Internal Medicine
- Interventional Cardiology
About STAR STATE HEART & VASCULAR PLLC
This page provides the complete NPI Profile along with additional information for Star State Heart & Vascular Pllc, an internist established in Lakeway, Texas operating as a Internal Medicine, focusing in interventional cardiology . The healthcare provider is registered in the NPI registry with number 1477884740 assigned on January 2010. The practitioner's primary taxonomy code is 207RI0011X with license number G6655 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. Star State Heart & Vascular Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Star State Heart & Vascular Pllc. The authorized official of this NPI record is Dr. Samuel J. Demaio M.d. (Owner)
- NPI
- 1477884740
- Provider Legal Name
- STAR STATE HEART PLLC
- Other Organization Name
- STAR STATE HEART & VASCULAR PLLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 200 MEDICAL PKWY SUITE 270 LAKEWAY, TX 78738
- Location Phone
- (512) 263-0123
- Location Fax
- (512) 367-5841
- Mailing Address
- PO BOX POX # 731393 DALLAS, TX 75373
- Mailing Phone
- (512) 263-0123
- Mailing Fax
- (512) 367-5841
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-26-2010
- Last Update Date
- 11-08-2012
- Code Navigator
An internist like Star State Heart & Vascular Pllc 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.
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
Internal Medicine Interventional Cardiology
- Taxonomy Code
- 207RI0011X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G6655
- License State
- TX
- Taxonomy Description
- An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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) |
|---|---|---|---|---|
| 1 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | G6655 (TX) |
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:
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 |
|---|---|---|---|
| TXB144746 | OTHER (01) | TX | MEDICARE |
| 8F24108 | OTHER (01) | TX | MEDICARE |
| 211911702 | OTHER (01) | TX | MEDICAID |
| TXB144747 | OTHER (01) | TX | MEDICARE |
| 0A6024 | MEDICARE PIN (08) | TX | |
| 134703111 | OTHER (01) | TX | MEDICAID |
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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 | 4 | 7 | 7 | 8 | 8 | 4 | 7 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 16 | 8 | 8 | 7 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 6 + 8 + 8 + 7 + 8 + 24 = 80 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1477884740 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275530826 | DR. KEVIN LEE HOFFARTH MD Individual | Family Medicine | 200 MEDICAL PKWY SUITE 310 LAKEWAY, TX 78738 (512) 654-2100 |
| 1669718672 | LRMC ORTHOPEDICS, INC. Organization | Orthopaedic Surgery | 200 MEDICAL PKWY SUITE 130 LAKEWAY, TX 78738 (512) 654-2677 |
| 1467799601 | SLEEP APNEA ASSOCIATES OF TEXAS, PLLC Organization | Dentist | 200 MEDICAL PKWY SUITE 270 LAKEWAY, TX 78738 (512) 730-3623 |
| 1962894774 | JESSICA VASIREDDY Individual | Nurse Practitioner (Family) | 200 MEDICAL PKWY SUITE 350 AUSTIN, TX 78738 (512) 691-3100 |
| 1619355724 | LRMC NEUROSURGERY, INC. Organization | Neurological Surgery | 200 MEDICAL PKWY SUITE 310 LAKEWAY, TX 78738 (512) 654-2101 |
| 1043693799 | SOPHIE BIRDWELL PT Individual | Physical Therapist | 200 MEDICAL PKWY SUITE 260 AUSTIN, TX 78738 (512) 655-1210 |
| 1679020986 | U S ANESTHESIA PARTNERS OF TEXAS Organization | Pain Medicine (Interventional Pain Medicine) | 200 MEDICAL PKWY SUITE 380 LAKEWAY, TX 78738 (512) 206-8000 |
| 1437232170 | KATHERINE A. GILLILAND ANP Individual | Nurse Practitioner (Adult Health) | 200 MEDICAL PKWY LAKEWAY, TX 78738 (512) 654-8677 |
| 1689948879 | DR. BRETT E SMITH D.P.M. Individual | Podiatrist (Foot & Ankle Surgery) | 200 MEDICAL PKWY STE 130 LAKEWAY, TX 78738 (512) 654-0103 |
| 1679831077 | DR. MATTHEW BLAKE FREEMAN M.D. Individual | Psychiatry & Neurology (Neurology) | 200 MEDICAL PKWY LAKEWAY, TX 78738 (512) 654-0150 |
| 1720057631 | THOMAS CHARLES BALDACCHINO M.D. Individual | Internal Medicine (Cardiovascular Disease) | 200 MEDICAL PKWY LAKEWAY, TX 78738 (512) 654-1234 |
| 1952053381 | MARCELA MARIE KRISTEK MPAS, PA-C Individual | Physician Assistant | 200 MEDICAL PKWY LAKEWAY, TX 78738 (512) 654-1234 |
| 1518742055 | BRIDGET CORREA Individual | Occupational Therapist | 200 MEDICAL PKWY LAKEWAY, TX 78738 (737) 237-0016 |
| 1285885160 | HIMA BINDU YALAMANCHILI M.D. Individual | Internal Medicine (Nephrology) | 200 MEDICAL PKWY LAKEWAY, TX 78738 (512) 654-0270 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477884740, enumerated in the NPI registry as an "organization" on January 26, 2010
The provider is located at 200 Medical Pkwy Suite 270 Lakeway, Tx 78738 and the phone number is (512) 263-0123
This medical organization specializes in Internal Medicine with taxonomy code 207RI0011X with a focus in Interventional Cardiology
The provider might be accepting Accepts: 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 January 26, 2010. 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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