HAIDEE T. CUSTODIO M.D.
NPI 1720247075
Pediatrics - Pediatric Infectious Diseases in Mobile, AL
NPI Status: Active since June 03, 2008
Contact Information
1601 CENTER STREET
STE 1S
MOBILE, AL
ZIP 36604
Phone: (251) 410-5437
Fax: (251) 434-3852
- Individual
- Female
- Pediatrics
- Pediatric Infectious Diseases
- Accepts Insurance
- PECOS Enrolled
About HAIDEE CUSTODIO
This page provides the complete NPI Profile along with additional information for Haidee Custodio, a pediatrician established in Mobile, Alabama with a medical specialization in Pediatrics, focusing in pediatric infectious diseases . The healthcare provider is registered in the NPI registry with number 1720247075 assigned on June 2008. The practitioner's primary taxonomy code is 2080P0208X with license number 30839 (AL). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1720247075
- Provider Name
- HAIDEE T. CUSTODIO M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1601 CENTER STREET STE 1S MOBILE, AL 36604
- Location Phone
- (251) 410-5437
- Location Fax
- (251) 434-3852
- Mailing Address
- PO BOX 40480 MOBILE, AL 36640
- Mailing Phone
- (251) 410-5437
- Mailing Fax
- (251) 434-3852
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-03-2008
- Last Update Date
- 03-06-2017
- Code Navigator
A pediatrician like Haidee Custodio 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 Infectious Diseases
- Taxonomy Code
- 2080P0208X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 30839
- License State
- AL
- Taxonomy Description
- A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
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) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | TRN12314 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- 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
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Haidee Custodio 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 HAIDEE T. CUSTODIO 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 | 7 | 2 | 0 | 2 | 4 | 7 | 0 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 4 | 4 | 14 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 4 + 4 + 1 + 4 + 0 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1720247075 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386625507 | DEAN K NARITOKU M.D. Individual | Psychiatry & Neurology (Neurology) | 1601 CENTER STREET STE. 2S MOBILE, AL 36604 (251) 660-5108 |
| 1851340806 | BASSAM A. BASSAM MD Individual | Psychiatry & Neurology (Neurology) | 1601 CENTER STREET STE 2S MOBILE, AL 36604 (251) 660-5108 |
| 1912951195 | PAUL A. MAERTENS MD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 1601 CENTER STREET STE 2S MOBILE, AL 36604 (251) 660-5108 |
| 1922043421 | ELIAS G CHALHUB MD Individual | Psychiatry & Neurology (Neurology) | 1601 CENTER STREET STE 2S MOBILE, AL 36604 (251) 660-5108 |
| 1386791259 | LAURA ELIZABETH MINTO MD Individual | Psychiatry & Neurology (Neurology) | 1601 CENTER STREET STE. 2S MOBILE, AL 36604 (251) 660-5108 |
| 1700066677 | DR. DANIEL DEES M.D. Individual | Psychiatry & Neurology (Neurology) | 1601 CENTER STREET STE 2S MOBILE, AL 36604 (251) 660-5108 |
| 1871729129 | LABORATORY CORPORATION OF AMERICA HOLDINGS Organization | Clinical Medical Laboratory | 1601 CENTER STREET SUITE 3H MOBILE, AL 36604 (251) 665-8411 |
| 1225089220 | KAREN D. CRISSINGER MD Individual | Pediatrics (Pediatric Gastroenterology) | 1601 CENTER STREET SUITE 1S MOBILE, AL 36604 (251) 410-5437 |
| 1659325116 | BENJAMIN ESTRADA MD Individual | Pediatrics (Pediatric Infectious Diseases) | 1601 CENTER STREET STE 1S MOBILE, AL 36604 (251) 410-5437 |
| 1063459592 | DR. ANANTHASEKAR PONNAMBALAM M.D. Individual | Pediatrics (Pediatric Gastroenterology) | 1601 CENTER STREET SUITE 1S MOBILE, AL 36604 (251) 410-5437 |
| 1861431587 | KENNETH R. RETTIG MD Individual | Pediatrics (Pediatric Endocrinology) | 1601 CENTER STREET STE 1S MOBILE, AL 36604 (251) 410-5437 |
| 1144243627 | MRS. TAMI TATE GREEN CRNP, CDE Individual | Nurse Practitioner (Family) | 1601 CENTER STREET STE 1S MOBILE, AL 36604 (251) 410-5437 |
| 1639386733 | ANNE-MARIE DORE KAULFERS M.D. Individual | Pediatrics (Pediatric Endocrinology) | 1601 CENTER STREET STE 1S MOBILE, AL 36604 (251) 410-5437 |
| 1689074668 | EMILY COLLINS MOORE CRNP Individual | Nurse Practitioner (Pediatrics) | 1601 CENTER STREET STE. 1S MOBILE, AL 36604 (251) 410-5437 |
| 1134323538 | REGENA SIMPSON W.H.N.P Individual | Nurse Practitioner (Women's Health) | 1601 CENTER STREET STE 3S MOBILE, AL 36604 (251) 415-1496 |
| 1013986041 | DR. JUAN GONZALO OCHOA MD Individual | Psychiatry & Neurology (Neurology) | 1601 CENTER STREET STE. 2S MOBILE, AL 36604 (251) 660-5108 |
| 1780020206 | AMELIA RUTH HEWES M.D. Individual | Obstetrics & Gynecology | 1601 CENTER STREET STE 3S MOBILE, AL 36604 (251) 415-1496 |
| 1750369468 | DAVID ALBERT GREMSE M.D. Individual | Pediatrics (Pediatric Gastroenterology) | 1601 CENTER STREET STE. 1S MOBILE, AL 36604 (251) 410-5437 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720247075, enumerated in the NPI registry as an "individual" on June 03, 2008
The provider is located at 1601 Center Street Ste 1s Mobile, Al 36604 and the phone number is (251) 410-5437
The provider's speciality is Pediatrics with taxonomy code 2080P0208X with a focus in Pediatric Infectious Diseases
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. 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 June 03, 2008. 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.