MARIO E. BRICENO-MEDINA M.D
NPI 1639408586
Pediatrics - Pediatric Cardiology in Memphis, TN
NPI Status: Active since December 23, 2009
Contact Information
51 N DUNLAP ST
2ND FLOOR
MEMPHIS, TN
ZIP 38105
Phone: (901) 287-7337
- Individual
- Male
- Pediatrics
- Pediatric Cardiology
- Accepts Insurance
- PECOS Enrolled
About MARIO BRICENO-MEDINA
This page provides the complete NPI Profile along with additional information for Mario Briceno-medina, a pediatrician established in Memphis, Tennessee with a medical specialization in Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1639408586 assigned on December 2009. The practitioner's primary taxonomy code is 2080P0202X with license number 54334 (TN). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1639408586
- Provider Name
- MARIO E. BRICENO-MEDINA M.D
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 51 N DUNLAP ST 2ND FLOOR MEMPHIS, TN 38105
- Location Phone
- (901) 287-7337
- Mailing Address
- 1432 ISLAND TOWN DR MEMPHIS, TN 38103
- Mailing Phone
- (901) 483-7886
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-23-2009
- Last Update Date
- 10-04-2016
- Code Navigator
A pediatrician like Mario Briceno-medina is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics Pediatric Cardiology
- Taxonomy Code
- 2080P0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 54334
- License State
- TN
- Taxonomy Description
- A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus (No Referrals) - EPO
- UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value (No Referrals) - EPO
- UHC Gold Advantage (No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Copay Focus (No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Advantage (No Referrals) - EPO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Copay Focus (No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
- EssentialSmile Tennessee - Total Care - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mario Briceno-medina is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for MARIO E. BRICENO-MEDINA M.D
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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 | 3 | 9 | 4 | 0 | 8 | 5 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 8 | 0 | 16 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 8 + 0 + 1 + 6 + 5 + 1 + 6 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1639408586 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 |
|---|---|---|---|
| 1821126665 | DR. TIMOTHY JANCELEWICZ MD Individual | Surgery (Pediatric Surgery) | 51 N DUNLAP ST SUITE 230 MEMPHIS, TN 38105 (901) 287-6031 |
| 1912339490 | LE BONHEUR PEDIATRICS LLC Organization | Pediatrics | 51 N DUNLAP ST SUITE 410 MEMPHIS, TN 38105 (901) 531-6380 |
| 1114206794 | AMANDA LEE SCOTT AU.D. Individual | Audiologist | 51 N DUNLAP ST MEMPHIS, TN 38105 (901) 287-6645 |
| 1518923242 | DR. DUKHEE BETTY LEW MD Individual | Pediatrics (Pediatric Allergy/Immunology) | 51 N DUNLAP ST SUITE 400 MEMPHIS, TN 38105 (901) 448-7642 |
| 1962723064 | SHELBY NICHOLE ELENBURG M.D. Individual | Student in an Organized Health Care Education/Training Program | 51 N DUNLAP ST SUITE 400 MEMPHIS, TN 38105 (901) 287-6224 |
| 1528473915 | MISS ANDREA SEBASTIAN Individual | Nurse Practitioner (Pediatrics) | 51 N DUNLAP ST MEMPHIS, TN 38105 (901) 448-2000 |
| 1912320474 | DR. CHRISTEN HOLDER PH.D. Individual | Clinical Neuropsychologist | 51 N DUNLAP ST SUITE 320 MEMPHIS, TN 38105 (901) 287-6325 |
| 1184090946 | BENJAMIN LEE DUFFY NP Individual | Nurse Practitioner (Family) | 51 N DUNLAP ST G10 MEMPHIS, TN 38105 (901) 287-4400 |
| 1801269451 | LESLIE LONG APRN Individual | Nurse Practitioner (Pediatrics) | 51 N DUNLAP ST STE. 235 MEMPHIS, TN 38105 (901) 287-7337 |
| 1467696880 | DR. ANAND DORAI RAJU M.D Individual | Radiology (Diagnostic Radiology) | 51 N DUNLAP ST STE. G145 MEMPHIS, TN 38105 (901) 287-5565 |
| 1972507796 | LEON LIVINGSTON MD Individual | Pediatrics | 51 N DUNLAP ST STE 410 MEMPHIS, TN 38105 (901) 523-2945 |
| 1275714537 | MARYBETH H HUGGINS MD Individual | Pediatrics | 51 N DUNLAP ST SUITE 410 MEMPHIS, TN 38105 (901) 523-2945 |
| 1598082992 | DR. DARRELL ANDREW ELLIOTT M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 51 N DUNLAP ST STE. 400 MEMPHIS, TN 38105 (901) 287-7337 |
| 1891071478 | MRS. AMANDA ROTENBERRY F,N,P. Individual | Nurse Practitioner (Family) | 51 N DUNLAP ST SUITE 400 MEMPHIS, TN 38105 (901) 568-1327 |
| 1093807638 | DR. ALICIA MARIE DIAZ-THOMAS MD Individual | Pediatrics (Pediatric Endocrinology) | 51 N DUNLAP ST SUITE 230 MEMPHIS, TN 38105 (901) 347-8439 |
| 1841503059 | RIMA S. ZAHR DO Individual | Pediatrics (Pediatric Nephrology) | 51 N DUNLAP ST STE. L400 MEMPHIS, TN 38105 (901) 287-7337 |
| 1235498908 | JEFFREY BRIAN SMITH M.D. Individual | Pediatrics | 51 N DUNLAP ST SUITE 410 MEMPHIS, TN 38105 (901) 523-2945 |
| 1982984951 | DR. NITHYA SWAMINATHAN Individual | Pediatrics (Pediatric Cardiology) | 51 N DUNLAP ST STE. 200 MEMPHIS, TN 38105 (901) 287-7337 |
| 1295169613 | MRS. MELISSA ERIN CHANDO NP-C Individual | Nurse Practitioner (Family) | 51 N DUNLAP ST MEMPHIS, TN 38105 (901) 287-7337 |
| 1699221028 | MEREDITH CANALE NP Individual | Nurse Practitioner (Pediatrics) | 51 N DUNLAP ST SUITE 400 MEMPHIS, TN 38105 (901) 287-7337 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639408586, enumerated in the NPI registry as an "individual" on December 23, 2009
The provider is located at 51 N Dunlap St 2nd Floor Memphis, Tn 38105 and the phone number is (901) 287-7337
The provider's speciality is Pediatrics with taxonomy code 2080P0202X with a focus in Pediatric Cardiology
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on December 23, 2009. 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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