DR. CHRISTINE MARIE CISNEROS M.D. NPI 1003004524
Preventive Medicine (Occupational Medicine) in Elkhart, IN
NPI Profile for DR. CHRISTINE MARIE CISNEROS M.D.
Christine Cisneros is a provider established in Elkhart, Indiana and her medical specialization is preventive medicine (occupational medicine) . The NPI number of Christine Cisneros is 1003004524 and was assigned on October 2007. The practitioner's primary taxonomy code is 2083X0100X with license number 4301407270 (MI). The provider is registered as an individual and her NPI record was last updated 10 years ago.
Christine Cisneros is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
| NPI | 1003004524 |
| Provider Name | DR. CHRISTINE MARIE CISNEROS M.D. |
| Provider Location Address | 700 E BEARDSLEY AVE STE 100 ELKHART, IN 46514 |
| Provider Mailing Address | 2760 EMBER WAY ANN ARBOR, MI 48104 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | Yes |
| Is Organization Subpart? | N/A |
| Enumeration Date | 10-10-2007 |
| Last Update Date | 07-29-2012 |
Primary Taxonomy
| Taxonomy Code | 2083X0100X |
| Classification | Preventive Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Occupational Medicine |
| License No. | 4301407270 |
| License State | MI |
| Taxonomy Description | Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
Business Address
DR. CHRISTINE MARIE CISNEROS M.D.
700 E BEARDSLEY AVE
STE 100
ELKHART, IN
ZIP 46514
Phone: (574) 206-8010
Mailing Address
DR. CHRISTINE MARIE CISNEROS M.D.
2760 EMBER WAY
ANN ARBOR, MI
ZIP 48104
Phone: (734) 913-0949
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 204D00000X | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine & OMM | 4301407270 | MI | No | |
Taxonomy Description: the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. | |||||||
| 2 | 204D00000X | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine & OMM | 036-108497 | IL | No | |
Taxonomy Description: the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 700H231390 | OTHER (01) | MI | BCBSM GROUP NUMBER |
| 0P47270 | MEDICARE PIN (08) | MI |
NPI Validation Check Digit Calculation
The following table explains step by step the 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 | 0 | 0 | 3 | 0 | 0 | 4 | 5 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 8 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 8 + 5 + 4 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1003004524 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 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043307937 | KELLI BECKER PTA Individual | Physical Therapy Assistant | 700 E BEARDSLEY AVE STE 100 ELKHART, IN 46514 (574) 206-8010 |
| 1306911060 | JILL HUFFMAN PTA Individual | Physical Therapy Assistant | 700 E BEARDSLEY AVE STE 100 ELKHART, IN 46514 (574) 206-8010 |
| 1154445831 | DR. JOSEPH E FERNANDO M.D. Individual | Preventive Medicine (Occupational Medicine) | 700 E BEARDSLEY AVE SUITE 100 ELKHART, IN 46514 (574) 206-8010 |
| 1669740122 | DEBRA DIANE BENDER P.T.A. Individual | Physical Therapy Assistant | 700 E BEARDSLEY AVE SUITE 100 ELKHART, IN 46514 (574) 206-8010 |
| 1942626635 | KAITLIN PUTT Individual | Speech-Language Pathologist | 700 E BEARDSLEY AVE ELKHART, IN 46514 (574) 293-2813 |
| 1912458662 | U.S. HEALTHWORKS MEDICAL GROUP OF INDIANA, PC Organization | Clinic/Center (Urgent Care) | 700 E BEARDSLEY AVE SUITE100 ELKHART, IN 46514 (574) 206-8010 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Dr. Christine Marie Cisneros M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.