RUPA PACHIGOLLA MD PSC
NPI 1003013350
Family Medicine in Weatherford, TX

NPI Status: Active since June 29, 2007

Contact Information

2016 FORT WORTH HWY
WEATHERFORD, TX
ZIP 76086
Phone: (817) 596-8637
Fax: (817) 599-3614

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 45D1093868
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-04-2027

About RUPA PACHIGOLLA MD PSC

This page provides the complete NPI Profile along with additional information for Rupa Pachigolla Md Psc, a primary care provider established in Weatherford, Texas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1003013350 assigned on June 2007. The practitioner's primary taxonomy code is 207Q00000X with license number N0337 (TX). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Rupa Pachigolla M.d. (Physician)

NPI
1003013350
Provider Name
RUPA PACHIGOLLA MD PSC
Entity Type
Organization
Location Address
2016 FORT WORTH HWY WEATHERFORD, TX 76086
Location Phone
(817) 596-8637
Location Fax
(817) 599-3614
Mailing Address
2016 FORT WORTH HWY WEATHERFORD, TX 76086
Mailing Phone
(817) 596-8637
Mailing Fax
(817) 599-3614
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2007
Last Update Date
04-28-2022
Code Navigator

A primary care provider (PCP) like Rupa Pachigolla Md Psc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
N0337
License State
TX
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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:

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Saver 750 - HMO
  • Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
  • Molina Gold Saver 750 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - 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

DR. RUPA PACHIGOLLA M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(817) 596-8637

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
45D1093868OTHER (01)TXCLIA #
00Z738OTHER (01)TXMEDICARE GROUP PIN
N0337OTHER (01)TXTEXAS LICENSE
197261401MEDICAID (05)TX 
1639165731OTHER (01)MCRE INDV NPI #
197259801OTHER (01)TXMEDICAID GRP #
1003013350MEDICAID (05)TX 
64071715MEDICAID (05)KY 
38179OTHER (01)KYLICENSE NUMBER

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D1093868
Facility Type
Physician Office
Certificate Effective Date
January 05, 2025
Certificate Expiration Date
January 04, 2027
Laboratory Director
RUPA PACHIGOLLA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rupa Pachigolla Md Psc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003013350, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 40. The final step is to find the difference between that total and the next multiple of ten (40 - 40 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 0 + 1 + 6 + 3 + 1 + 0 + 24 = 40

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 40 is 40. The difference is the calculated check digit.

40 - 40 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1003013350.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Otolaryngology
2016 FORT WORTH HWY
WEATHERFORD, TX 76086
Otolaryngology
2016 FORT WORTH HWY
WEATHERFORD, TX 76086
Family Medicine
2016 FORT WORTH HWY
WEATHERFORD, TX 76086

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003013350, enumerated as an "organization" on June 29, 2007.

The provider is located at 2016 FORT WORTH HWY WEATHERFORD, TX 76086 and the phone number is (817) 596-8637.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.