MADHUSUDAN VALLALA M.D., S.C.
NPI 1609177005
Internal Medicine - Cardiovascular Disease in Jacksonville, IL
NPI Status: Active since November 16, 2010
Contact Information
1515 W WALNUT ST
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 245-8712
Fax: (217) 245-1453
- Organization
- Internal Medicine
- Cardiovascular Disease
About MADHUSUDAN VALLALA M.D., S.C.
This page provides the complete NPI Profile along with additional information for Madhusudan Vallala M.d., S.c., an internist established in Jacksonville, Illinois operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1609177005 assigned on November 2010. The practitioner's primary taxonomy code is 207RC0000X with license number 036053208 (IL). The provider is registered as an organization and their NPI record was last updated 15 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 Mrs. Sue Vallala (Office Manager)
- NPI
- 1609177005
- Provider Name
- MADHUSUDAN VALLALA M.D., S.C.
- Entity Type
- Organization
- Location Address
- 1515 W WALNUT ST JACKSONVILLE, IL 62650
- Location Phone
- (217) 245-8712
- Location Fax
- (217) 245-1453
- Mailing Address
- 1515 W WALNUT ST JACKSONVILLE, IL 62650
- Mailing Phone
- (217) 245-8712
- Mailing Fax
- (217) 245-1453
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-16-2010
- Last Update Date
- 11-16-2010
- Code Navigator
An internist like Madhusudan Vallala M.d., S.c. 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 Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036053208
- License State
- IL
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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:
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 |
|---|---|---|---|
| DO9862 | MEDICARE UPIN (02) |
Reviews for MADHUSUDAN VALLALA M.D., S.C.
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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 | 6 | 0 | 9 | 1 | 7 | 7 | 0 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 2 | 7 | 14 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 2 + 7 + 1 + 4 + 0 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1609177005 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1558333633 | DR. ALLEN G GERBERDING M.D. Individual | Family Medicine | 1515 W WALNUT ST JACKSONVILLE, IL 62650 (217) 243-6454 |
| 1649209099 | DR. STEVEN EDISON SHAW D. C. Individual | Chiropractor | 1515 W WALNUT ST JACKSONVILLE, IL 62650 (217) 243-5313 |
| 1205939428 | DR. ANTHONY SCROGGINS D.P.M. Individual | Podiatrist | 1515 W WALNUT ST SUITE 3B JACKSONVILLE, IL 62650 (217) 245-4610 |
| 1972691731 | DR. ROBERT A KRUEGER D.D.S., M.S.D. Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 1515 W WALNUT ST #8 JACKSONVILLE, IL 62650 (217) 245-6400 |
| 1699828616 | DR. RONALD R LYNCH D.M.D Individual | Dentist (General Practice) | 1515 W WALNUT ST JACKSONVILLE, IL 62650 (217) 245-1211 |
| 1497883862 | DR. THOMAS MICHAEL LOUGHARY D.M.D. Individual | Dentist (General Practice) | 1515 W WALNUT ST BUILDING 10 JACKSONVILLE, IL 62650 (217) 243-6489 |
| 1891960753 | RONALD R LYNCH DMD LTD Organization | Clinic/Center (Dental) | 1515 W WALNUT ST JACKSONVILLE, IL 62650 (217) 245-1211 |
| 1962650150 | LYNCH FAMILY DENTISTRY, P.C. Organization | Clinic/Center (Dental) | 1515 W WALNUT ST BUILDING 5 JACKSONVILLE, IL 62650 (217) 245-1211 |
| 1295068856 | DR. ELDON G. BARROWES Individual | Dentist (Endodontics) | 1515 W WALNUT ST BLDG. #3 JACKSONVILLE, IL 62650 (217) 479-0900 |
| 1043302144 | FOOT & ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC Organization | Podiatrist (Foot & Ankle Surgery) | 1515 W WALNUT ST SUITE 12 JACKSONVILLE, IL 62650 (217) 243-1101 |
| 1164848750 | SMILE EXPERTS DENTAL ASSOCIATES Organization | Exclusive Provider Organization | 1515 W WALNUT ST JACKSONVILLE, IL 62650 (217) 245-1190 |
| 1265474118 | DR. TERESE J LAUGHLIN DPM Individual | Podiatrist (Foot & Ankle Surgery) | 1515 W WALNUT ST SUITE 12 JACKSONVILLE, IL 62650 (217) 243-1101 |
| 1629086913 | MRS. JULIE W TENNILL MSW, ACSW, LCSW Individual | Social Worker (Clinical) | 1515 W WALNUT ST BUILDING 1 JACKSONVILLE, IL 62650 (217) 245-7275 |
| 1073664579 | R & D PHARMACIES, INC Organization | Pharmacy (Community/Retail Pharmacy) | 1515 W WALNUT ST JACKSONVILLE, IL 62650 (217) 245-5353 |
| 1477677995 | FOOT AND ANKLE ASSOCIATES OF CENTRAL ILLINOIS LLC Organization | Durable Medical Equipment & Medical Supplies | 1515 W WALNUT ST SUITE 12 JACKSONVILLE, IL 62650 (217) 243-1101 |
| 1295952422 | ROBERT A. KRUEGER, D.D.S., LTD. Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 1515 W WALNUT ST #8 JACKSONVILLE, IL 62650 (217) 245-6400 |
| 1477225993 | BRANDYNNE MARIE FRY ALLGAIER FNP-C, APRN Individual | Nurse Practitioner | 1515 W WALNUT ST JACKSONVILLE, IL 62650 (217) 243-5313 |
| 1316916513 | DVA RENAL HEALTHCARE INC Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1515 W WALNUT ST JACKSONVILLE, IL 62650 (217) 243-3042 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609177005, enumerated in the NPI registry as an "organization" on November 16, 2010
The provider is located at 1515 W Walnut St Jacksonville, Il 62650 and the phone number is (217) 245-8712
This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
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 November 16, 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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