ROBERT W PEDERSON MD
NPI 1710987813
Internal Medicine - Interventional Cardiology in Santa Fe, NM

NPI Status: Active since July 29, 2005

Contact Information

207 E BUENA VISTA ST
SANTA FE, NM
ZIP 87505
Phone: (512) 970-3666

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  • Individual
  • Male
  • Internal Medicine
  • Interventional Cardiology

About ROBERT PEDERSON

This page provides the complete NPI Profile along with additional information for Robert Pederson, an internist established in Santa Fe, New Mexico with a medical specialization in Internal Medicine, focusing in interventional cardiology . The healthcare provider is registered in the NPI registry with number 1710987813 assigned on July 2005. The practitioner's primary taxonomy code is 207RI0011X with license number E1920 (TX). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1710987813
Provider Name
ROBERT W PEDERSON MD
Gender
Male
Entity Type
Individual
Location Address
207 E BUENA VISTA ST SANTA FE, NM 87505
Location Phone
(512) 970-3666
Mailing Address
207 E BUENA VISTA ST SANTA FE, NM 87505
Mailing Phone
(512) 970-3666
Is Sole Proprietor?
Yes
Enumeration Date
07-29-2005
Last Update Date
12-18-2015
Code Navigator

An internist like Robert Pederson 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 Interventional Cardiology

Taxonomy Code
207RI0011X
Type
Allopathic & Osteopathic Physicians
License No.
E1920
License State
TX
Taxonomy Description
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

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)
1207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

E1920 (TX)

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
881634MEDICARE PIN (08)TX 
B25426OTHER (01)UPIN
1341851-03MEDICAID (05)TX 
TXB110722MEDICARE PIN (08)TX 

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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.
1710987813
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27201881482
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 8 + 1 + 4 + 8 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1710987813 is valid because the calculated check digit 3 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 1710987813, enumerated in the NPI registry as an "individual" on July 29, 2005

The provider is located at 207 E Buena Vista St Santa Fe, Nm 87505 and the phone number is (512) 970-3666

The provider's speciality is Internal Medicine with taxonomy code 207RI0011X with a focus in Interventional Cardiology

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 July 29, 2005. 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.