MID FLORIDA INTERNAL MEDICINE
NPI 1639291834
Hospitalist in Windermere, FL

NPI Status: Active since April 06, 2007

Contact Information

11036 BRIDGE HOUSE DR
WINDERMERE, FL
ZIP 34786
Phone: (321) 229-5479
Fax: (407) 876-8286

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  • Organization
  • Hospitalist

About MID FLORIDA INTERNAL MEDICINE

This page provides the complete NPI Profile along with additional information for Mid Florida Internal Medicine, a provider established in Windermere, Florida operating as a Hospitalist. The healthcare provider is registered in the NPI registry with number 1639291834 assigned on April 2007. The practitioner's primary taxonomy code is 208M00000X with license number ME0073769 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. Mid Florida Internal Medicine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Sanjay Prakash Muttreja Md (President)

NPI
1639291834
Provider Name
MID FLORIDA INTERNAL MEDICINE
Entity Type
Organization
Location Address
11036 BRIDGE HOUSE DR WINDERMERE, FL 34786
Location Phone
(321) 229-5479
Location Fax
(407) 876-8286
Mailing Address
P.O. BOX 929 WINDERMERE, FL 34786
Mailing Phone
(321) 229-5479
Mailing Fax
(407) 876-8286
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2007
Last Update Date
04-05-2013
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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

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
ME0073769
License State
FL
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

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)
1174400000XOther Service Providers

Specialist

73769 (FL)

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.

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

MRS. SANJAY PRAKASH MUTTREJA MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(321) 229-5479

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
CW617AMEDICARE OSCAR/CERTIFICATION (06)FL 
G63783MEDICARE UPIN (02)FL 
263823100MEDICAID (05)FL 

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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.
1639291834
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266949286
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 9 + 2 + 8 + 6 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1639291834 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639291834, enumerated in the NPI registry as an "organization" on April 06, 2007

The provider is located at 11036 Bridge House Dr Windermere, Fl 34786 and the phone number is (321) 229-5479

This medical organization specializes in Hospitalist with taxonomy code 208M00000X

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 April 06, 2007. 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.