ADVANCED UROLOGY INSTITUTE LLC
NPI 1528416096
Non-Pharmacy Dispensing Site in Palm Coast, FL

NPI Status: Active since May 25, 2016

Contact Information

21 HOSPITAL DR
STE 140
PALM COAST, FL
ZIP 32164
Phone: (386) 445-8530
Fax: (386) 446-5087

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  • Organization
  • Non-Pharmacy Dispensing Site
  • Accepts Insurance
  • CLIA Number: 10D0964695
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2025

About ADVANCED UROLOGY INSTITUTE LLC

This page provides the complete NPI Profile along with additional information for Advanced Urology Institute Llc, a provider established in Palm Coast, Florida operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1528416096 assigned on May 2016. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Michael S Grable Md (President)

NPI
1528416096
Provider Name
ADVANCED UROLOGY INSTITUTE LLC
Entity Type
Organization
Location Address
21 HOSPITAL DR STE 140 PALM COAST, FL 32164
Location Phone
(386) 445-8530
Location Fax
(386) 446-5087
Mailing Address
21 HOSPITAL DR STE 140 PALM COAST, FL 32164
Mailing Phone
(386) 445-8530
Mailing Fax
(386) 446-5087
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2016
Last Update Date
04-02-2024
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Insurance Plans Accepted

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

  • BlueCross B07E HSA - EPO
  • BlueCross B07S HSA - EPO
  • BlueCross B15E $0 virtual care from Teladoc Health � - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • Bronze Classic 4700 (Select) - HMO
  • Bronze Classic PCP Saver (Select) - HMO
  • Bronze Classic Standard (Select) - HMO
  • Gold Classic (Select) - HMO
  • Gold Classic Standard (Select) - HMO
  • Gold Elite Saver Plus (Select) - HMO
  • Secure (Select) - HMO
  • Silver Classic Standard (Select) - HMO
  • Silver Elite Saver Plus (Select) - HMO
  • Silver Simple Chronic Care CKM (Select) - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with Atrium Health - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with Atrium Health - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with Atrium Health - HMO
  • Gold Elite Saver Plus - HMO
  • Gold Elite Saver Plus | with Atrium Health - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 (Select) - HMO
  • Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard (Choice) - HMO
  • Bronze Classic Standard (Select) - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Gold Classic - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard (Choice) - HMO
  • Bronze Classic - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic 4700 - PPO
  • Bronze Classic 4700 | MercyOne - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard - PPO
  • Bronze Classic Standard | MercyOne - EPO
  • Bronze Elite + PCP Saver - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus - PPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Gold Elite Saver Plus - EPO
  • Secure - EPO
  • Silver Classic Standard - EPO
  • Silver Elite - EPO
  • Silver Simple Chronic Care CKM - EPO
  • Bronze Classic PCP Saver - HMO
  • Bronze Classic Standard - HMO
  • Bronze Simple HSA - HMO
  • Gold Classic Standard - HMO
  • Gold Elite - HMO
  • Gold Elite Saver Plus - HMO
  • Secure - HMO
  • Silver Classic Standard - HMO
  • Silver Elite Saver Plus - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Essential Bronze 6500 - POS
  • Essential Gold 1500 - POS
  • Freedom Silver 4000 - POS
  • Savings Bronze 7700 - POS
  • Standard Bronze 7500 - POS
  • Standard Gold 1500 - POS
  • Standard Silver 5000 - POS

*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. MICHAEL S GRABLE MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(386) 445-8530

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
10D0964695
Facility Type
Physician Office
Certificate Effective Date
September 01, 2023
Certificate Expiration Date
August 31, 2025
Laboratory Director
TERRENCE C. REGAN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Advanced Urology Institute Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for ADVANCED UROLOGY INSTITUTE LLC

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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.
1528416096
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25488112018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 8 + 1 + 1 + 2 + 0 + 1 + 8 + 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 1528416096 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356373054DR. STEVEN JOSEPH BROWN M.D.
Individual
Obstetrics & Gynecology (Gynecology)21 HOSPITAL DR SUITE 270
PALM COAST, FL 32164
(386) 437-5959
1811915747DR. NICKOLAS JOHN COLLUCCI D.O.
Individual
Phlebology21 HOSPITAL DR SUITE 260
PALM COAST, FL 32164
(386) 586-5344
1174545479DR. CHARLES I STEIN MD
Individual
Phlebology21 HOSPITAL DR SUITE 260
PALM COAST, FL 32164
(386) 586-5344
1427194968PALM COAST INTERNAL MEDICINE PA
Organization
Internal Medicine (Adolescent Medicine)21 HOSPITAL DR SUITE 280
PALM COAST, FL 32164
(386) 437-4711
1457474728DR. ANTONIO SISON VICENCIO III M.D.
Individual
Family Medicine21 HOSPITAL DR SUITE 230
PALM COAST, FL 32164
(386) 586-3466
1932329653DENNIS T ALTER MD PA
Organization
Specialist21 HOSPITAL DR SUITE 110
PALM COAST, FL 32164
(386) 586-1370
1265624852SJB MD PA
Organization
Obstetrics & Gynecology (Gynecology)21 HOSPITAL DR SUITE 270
PALM COAST, FL 32164
(386) 437-5959
1548440316DR. BANDELE OLATOKUNBO OREBANWO MD
Individual
Family Medicine21 HOSPITAL DR SUITE 120
PALM COAST, FL 32164
(386) 586-4280
1174792642ATLANTIC UROLOGICAL ASSOCIATES P A
Organization
Urology21 HOSPITAL DR SUITE 140
PALM COAST, FL 32164
(386) 445-8530
1558530006EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC
Organization
Radiology (Diagnostic Radiology)21 HOSPITAL DR SUITE 130
PALM COAST, FL 32164
(386) 274-7118
1912177577FAMILY MEDICAL CARE OF PALM COAST LLC
Organization
Family Medicine21 HOSPITAL DR SUITE 230
PALM COAST, FL 32164
(386) 586-3466
1962644914IPS OF PALM COAST LLC
Organization
Anesthesiology21 HOSPITAL DR STE 220
PALM COAST, FL 32164
(386) 263-6020
1396987350SPINECARE OF PALM COAST LLC
Organization
Pain Medicine (Interventional Pain Medicine)21 HOSPITAL DR STE 220
PALM COAST, FL 32164
(386) 263-6020
1598907552MUA CENTER OF PALM COAST LLC
Organization
Clinic/Center (Pain)21 HOSPITAL DR STE 220
PALM COAST, FL 32164
(386) 263-6020
1578854477FLORIDA WOMAN CARE, LLC
Organization
Obstetrics & Gynecology21 HOSPITAL DR SUITE 270
PALM COAST, FL 32164
(386) 437-5959
1689893224VEIN TREATMENT CENTER OF PALM COAST P A
Organization
Phlebology21 HOSPITAL DR SUITE 260
PALM COAST, FL 32164
(386) 586-5344
1033500624COASTAL FAMILY HEALTHCARE LLC
Organization
Family Medicine21 HOSPITAL DR SUITE 280
PALM COAST, FL 32164
(386) 437-4711
1891181194CHAMION N. OLIVIER MD PA
Organization
Internal Medicine (Infectious Disease)21 HOSPITAL DR SUITE 290
PALM COAST, FL 32164
(386) 263-8855
1326359274 CAROLINE M SARGEANT ARNP
Individual
Nurse Practitioner (Obstetrics & Gynecology)21 HOSPITAL DR SUITE 270
PALM COAST, FL 32164
(386) 437-5959
1396918579TOWN CENTER FAMILY CARE LLC
Organization
Family Medicine21 HOSPITAL DR STE 290
PALM COAST, FL 32164
(386) 473-7977

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528416096, enumerated in the NPI registry as an "organization" on May 25, 2016

The provider is located at 21 Hospital Dr Ste 140 Palm Coast, Fl 32164 and the phone number is (386) 445-8530

This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Oscar Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 10D0964695 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on May 25, 2016. 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.