MEDINA HEALTHCARE SC
NPI 1487975900
Internal Medicine in Dyer, IN
NPI Status: Active since June 18, 2010
- Organization
- Internal Medicine
- CLIA Number: 14D0951889
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 09-29-2026
About MEDINA HEALTHCARE SC
This page provides the complete NPI Profile along with additional information for Medina Healthcare Sc, an internist established in Dyer, Indiana operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1487975900 assigned on June 2010. The practitioner's primary taxonomy code is 207R00000X with license number 036089606 (IL). The provider is registered as an organization and their NPI record was last updated 2 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 Katie A Werner (Credentialing)
- NPI
- 1487975900
- Provider Name
- MEDINA HEALTHCARE SC
- Entity Type
- Organization
- Location Address
- 932 RICHARD RD DYER, IN 46311
- Location Phone
- (219) 515-2148
- Mailing Address
- 932 RICHARD RD DYER, IN 46311
- Mailing Phone
- (708) 982-1544
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-18-2010
- Last Update Date
- 12-05-2023
- Code Navigator
An internist like Medina Healthcare Sc 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
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036089606
- License State
- IL
- 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.
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0951889
- Facility Type
- Community Clinic
- Certificate Effective Date
- September 30, 2024
- Certificate Expiration Date
- September 29, 2026
- Laboratory Director
- HUMA T. MULK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medina Healthcare Sc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 8 | 7 | 9 | 7 | 5 | 9 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 18 | 7 | 10 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 1 + 8 + 7 + 1 + 0 + 9 + 0 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1487975900 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497884027 | DR. HUMA TAZEEM MULK M.D. Individual | Internal Medicine | 932 RICHARD RD DYER, IN 46311 (708) 982-1544 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487975900, enumerated in the NPI registry as an "organization" on June 18, 2010
The provider is located at 932 Richard Rd Dyer, In 46311 and the phone number is (219) 515-2148
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider's CLIA number is 14D0951889 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 18, 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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