DOMERLIN SODUSTA
NPI 1679978084
Durable Medical Equipment & Medical Supplies in Omaha, NE
NPI Status: Active since October 28, 2014
Contact Information
4905 S 107TH AVE
SUITE 206
OMAHA, NE
ZIP 68127
Phone: (402) 968-1643
- Individual
- Male
- Durable Medical Equipment & Medical Supp...
About DOMERLIN SODUSTA
This page provides the complete NPI Profile along with additional information for Domerlin Sodusta, a provider established in Omaha, Nebraska with a medical specialization in Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1679978084 assigned on October 2014. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1679978084
- Provider Name
- DOMERLIN SODUSTA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4905 S 107TH AVE SUITE 206 OMAHA, NE 68127
- Location Phone
- (402) 968-1643
- Mailing Address
- 4905 S 107TH AVE SUITE 206 OMAHA, NE 68127
- Mailing Phone
- (402) 968-1643
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-28-2014
- Last Update Date
- 10-28-2014
- Code Navigator
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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License State
- NE
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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 |
|---|---|---|---|
| 4684730001 | MEDICARE UPIN (02) | NE | |
| 10024973200 | MEDICAID (05) | NE |
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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 | 7 | 9 | 9 | 7 | 8 | 0 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 18 | 7 | 16 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 8 + 7 + 1 + 6 + 0 + 1 + 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 = 4 | 4 | ||||||||
The NPI number 1679978084 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720212939 | MRS. ROSEMARIE NOLAN TOMKA MS/CCC-SLP Individual | Speech-Language Pathologist | 4905 S 107TH AVE OMAHA, NE 68127 (402) 926-4088 |
| 1326272527 | MRS. JANICE LYNN KOORY OTR/L Individual | Occupational Therapist | 4905 S 107TH AVE OMAHA, NE 68127 (402) 926-4088 |
| 1356744098 | AMBER CECIL Individual | Registered Nurse (Hospice) | 4905 S 107TH AVE OMAHA, NE 68127 (402) 597-2585 |
| 1538563853 | ROCHELLE GRADY RN Individual | Registered Nurse (Hospice) | 4905 S 107TH AVE STE 205 OMAHA, NE 68127 (402) 597-2585 |
| 1386048601 | DEBORAH SCHUTZ RN Individual | Registered Nurse (Hospice) | 4905 S 107TH AVE STE 205 OMAHA, NE 68127 (402) 597-2585 |
| 1477808889 | CHARTER HOSPICE OF OMAHA, LLC Organization | Hospice Care, Community Based | 4905 S 107TH AVE SUITE 205 OMAHA, NE 68127 (402) 926-4088 |
| 1568048726 | KEEN MINDS LLC Organization | Nurse Practitioner (Psychiatric/Mental Health) | 4905 S 107TH AVE OMAHA, NE 68127 (402) 819-1823 |
| 1659058360 | EMILY JORDAN BLANCHARD DNP-WHNP, MPH Individual | Nurse Practitioner (Women's Health) | 4905 S 107TH AVE OMAHA, NE 68127 (402) 243-1526 |
| 1265422562 | LESLIE IRENE DVORAK APRN Individual | Nurse Practitioner (Women's Health) | 4905 S 107TH AVE OMAHA, NE 68127 (402) 243-1526 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679978084, enumerated in the NPI registry as an "individual" on October 28, 2014
The provider is located at 4905 S 107th Ave Suite 206 Omaha, Ne 68127 and the phone number is (402) 968-1643
The provider's speciality is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
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 October 28, 2014. 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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