PREMIER VASCULAR CARE PC
NPI 1639443773
Surgery - Vascular Surgery in Rochester Hills, MI

NPI Status: Active since March 07, 2012

Contact Information

1701 SOUTH BLVD E STE B75
ROCHESTER HILLS, MI
ZIP 48307
Phone: (248) 243-3935
Fax: (248) 284-7530

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  • Organization
  • Surgery
  • Vascular Surgery
  • Accepts Insurance

About PREMIER VASCULAR CARE PC

This page provides the complete NPI Profile along with additional information for Premier Vascular Care Pc, a provider established in Rochester Hills, Michigan operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1639443773 assigned on March 2012. The practitioner's primary taxonomy code is 2086S0129X with license number 4301093222 (MI). The provider is registered as an organization and their NPI record was last updated 2 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 Ajith Kadakol Md (Physician / Owner)

NPI
1639443773
Provider Name
PREMIER VASCULAR CARE PC
Entity Type
Organization
Location Address
1701 SOUTH BLVD E STE B75 ROCHESTER HILLS, MI 48307
Location Phone
(248) 243-3935
Location Fax
(248) 284-7530
Mailing Address
3205 LEGACY CT W BLOOMFIELD, MI 48323
Mailing Phone
(583) 573-8030
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2012
Last Update Date
03-07-2023
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Location Map

Secondary Locations

  • 43211 Dalcoma Dr NORTH WING SUITE B
    Clinton Twp, MI 48038
    (586) 573-8030
  • 43211 Dalcoma Dr NORTH WING SUITE B
    Clinton Twp, MI 48038
    (586) 573-8030

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

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
License No.
4301093222
License State
MI
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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:

  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - 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.

*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

AJITH KADAKOL MD

Authorized Official Title
PHYSICIAN / OWNER
Authorized Official Phone
(586) 573-8030

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
5315045037OTHER (01)MICONTROLLED SUBSTANCE LICENSE
4301093222OTHER (01)MILICENSE
1891742128OTHER (01)MIINDV NPI

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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.
1639443773
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669846714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 8 + 4 + 6 + 7 + 1 + 4 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1639443773 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891742128 AJITH K KADAKOL M.D.
Individual
Surgery (Vascular Surgery)1701 SOUTH BLVD E STE B75
ROCHESTER HILLS, MI 48307
(248) 243-3935

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639443773, enumerated in the NPI registry as an "organization" on March 07, 2012

The provider is located at 1701 South Blvd E Ste B75 Rochester Hills, Mi 48307 and the phone number is (248) 243-3935

This medical organization specializes in Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. 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 March 07, 2012. 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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