PIONEER VALLEY NEPHROLOGY, PC
NPI 1548206626
Internal Medicine - Nephrology in Springfield, MA

NPI Status: Active since June 20, 2006

Contact Information

300 STAFFORD ST
SUITE 161
SPRINGFIELD, MA
ZIP 01104
Phone: (413) 787-0090
Fax: (413) 787-0089

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  • Organization
  • Internal Medicine
  • Nephrology
  • Accepts Insurance

About PIONEER VALLEY NEPHROLOGY, PC

This page provides the complete NPI Profile along with additional information for Pioneer Valley Nephrology, Pc, an internist established in Springfield, Massachusetts operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1548206626 assigned on June 2006. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated 12 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 Crystal Gillis (Billing Manager)

NPI
1548206626
Provider Name
PIONEER VALLEY NEPHROLOGY, PC
Entity Type
Organization
Location Address
300 STAFFORD ST SUITE 161 SPRINGFIELD, MA 01104
Location Phone
(413) 787-0090
Location Fax
(413) 787-0089
Mailing Address
300 STAFFORD ST SUITE 161 SPRINGFIELD, MA 01104
Mailing Phone
(413) 787-0090
Mailing Fax
(413) 787-0089
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2006
Last Update Date
01-17-2014
Code Navigator

An internist like Pioneer Valley Nephrology, Pc 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 Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - 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.

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

CRYSTAL GILLIS

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(413) 787-0090

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
M17055OTHER (01)MABCBS GROUP NUMBER
C02760MEDICARE ID-TYPE UNSPECIFIED (04)CTCT GROUP NUMBER
003109932MEDICAID (05)CT 
M20833MEDICARE ID-TYPE UNSPECIFIED (04)MAGROUP MEDICARE NUMBER
9709312MEDICAID (05)MA 

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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.
1548206626
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2588401264
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 4 + 0 + 1 + 2 + 6 + 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 1548206626 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
1497756092DR. ROBERT PHILIP HOFFMAN M.D.
Individual
Internal Medicine (Infectious Disease)300 STAFFORD ST SUITE 306
SPRINGFIELD, MA 01104
(413) 737-1600
1972593853 SANTWANA PRASAD O.D.
Individual
Optometrist (Corneal and Contact Management)300 STAFFORD ST SUITE 212
SPRINGFIELD, MA 01104
(413) 739-7367
1851364079DR. STEPHEN A METZ MD PHD
Individual
Obstetrics & Gynecology300 STAFFORD ST STE 210 HAMPDEN COUNTY PHYSICIAN ASSOCIATES, LLC
SPRINGFIELD, MA 01104
(413) 737-2277
1669434502VALLEY NEUROLOGICAL SURGERY PC
Organization
Specialist300 STAFFORD ST SUITE 264
SPRINGFIELD, MA 01104
(413) 827-8800
1528020278 LEO I STEMP MD
Individual
Internal Medicine (Critical Care Medicine)300 STAFFORD ST SUITE 300
SPRINGFIELD, MA 01104
(413) 748-9860
1922021187DR. ANGELO L MORALES MD
Individual
Pediatrics300 STAFFORD ST SUITE 300
SPRINGFIELD, MA 01104
(413) 734-7758
1700809993 GEORGE E KARRAS JR. M.D.
Individual
Internal Medicine (Critical Care Medicine)300 STAFFORD ST STE 300
SPRINGFIELD, MA 01104
(413) 734-7758
1104910223DR. ALAN RICHARD GERSTEIN M.D.
Individual
Internal Medicine300 STAFFORD ST STE 101
SPRINGFIELD, MA 01104
(413) 734-6400
1194801928DR. MARK K BENANDER PH.D., M.S.
Individual
Psychologist (Clinical)300 STAFFORD ST SUITE 254 - MEDICAL PSYCHIATRY
SPRINGFIELD, MA 01104
(413) 748-7010
1780762773MR. MATTHEW DENNIS BOURBEAU PTA
Individual
Physical Therapy Assistant300 STAFFORD ST SUITE 360
SPRINGFIELD, MA 01104
(413) 734-8440
1760560627 AGNES FORMEJSTER PTA
Individual
Physical Therapy Assistant300 STAFFORD ST SUITE 360
SPRINGFIELD, MA 01104
(413) 734-8440
1295814549MR. KENNETH JOHN JONES PTA
Individual
Physical Therapy Assistant300 STAFFORD ST SUITE 360
SPRINGFIELD, MA 01104
(413) 734-8440
1831258102DR. ANTHONY EDWARD KUSIAK M.D.
Individual
Internal Medicine300 STAFFORD ST SUITE 360
SPRINGFIELD, MA 01104
(413) 734-8440
1568521078MS. LESLIE D SMITH PA-C
Individual
Physician Assistant300 STAFFORD ST SUITE 360
SPRINGFIELD, MA 01104
(413) 734-8440
1588729735FAMILY EYE CARE CENTER
Organization
Ophthalmology300 STAFFORD ST SUITE 305
SPRINGFIELD, MA 01104
(413) 737-2122
1538371349MS. ELLEN M REED PTA
Individual
Physical Therapy Assistant300 STAFFORD ST SUITE 360
SPRINGFIELD, MA 01104
(413) 734-8440
1932308087HEALTH INTERNATIONAL SERVICES, INC.
Organization
Internal Medicine300 STAFFORD ST SUITE 300
SPRINGFIELD, MA 01104
(413) 734-7758
1245421080THEODORE M INGIS MD PC
Organization
Clinic/Center (Ophthalmologic Surgery)300 STAFFORD ST SUITE 112
SPRINGFIELD, MA 01104
(413) 733-2260
1083802219DEMOSTHENES D. DASCO, MD, PC
Organization
Neurological Surgery300 STAFFORD ST SUITE 262
SPRINGFIELD, MA 01104
(413) 734-7758
1144401316 KAREN ELIZABETH HORTON R.D.
Individual
Dietitian, Registered (Nutrition, Renal)300 STAFFORD ST SUITE 161
SPRINGFIELD, MA 01104
(413) 787-1738

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548206626, enumerated in the NPI registry as an "organization" on June 20, 2006

The provider is located at 300 Stafford St Suite 161 Springfield, Ma 01104 and the phone number is (413) 787-0090

This medical organization specializes in Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross Blue. 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 20, 2006. 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.