PHILLIP RICHTER PARAS M.D.
NPI 1003016064
Pediatrics in Grand Rapids, MI

NPI Status: Active since July 18, 2007

Contact Information

330 BARCLAY AVE NE
SUITE 300
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 391-8810
Fax: (616) 391-8897

Get Directions Reviews

  • Individual
  • Male
  • Pediatrics
  • PECOS Enrolled

About PHILLIP PARAS

Phillip Paras is a pediatrician established in Grand Rapids, Michigan and his medical specialization is Pediatrics. The healthcare provider is registered in the NPI registry with number 1003016064 assigned on July 2007. The practitioner's primary taxonomy code is 208000000X with license number 4301090796 (MI). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1003016064
Provider Name
PHILLIP RICHTER PARAS M.D.
Gender
Male
Entity Type
Individual
Location Address
330 BARCLAY AVE NE SUITE 300 GRAND RAPIDS, MI 49503
Location Phone
(616) 391-8810
Location Fax
(616) 391-8897
Mailing Address
100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
Is Sole Proprietor?
No
Enumeration Date
07-18-2007
Last Update Date
01-05-2021
Code Navigator

A pediatrician like Phillip Paras 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.

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

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
4301090796
License State
MI
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Care Network of Michigan

    • Blue Cross® Preferred HMO Bronze - HMO
    • Blue Cross® Preferred HMO Bronze Extra - HMO
    • Blue Cross® Preferred HMO Bronze Saver HSA - HMO
    • Blue Cross® Preferred HMO Bronze Secure - HMO
    • Blue Cross® Preferred HMO Gold - HMO
    • Blue Cross® Preferred HMO Gold Extra - HMO
    • Blue Cross® Preferred HMO Silver - HMO
    • Blue Cross® Preferred HMO Silver Extra - HMO
    • Blue Cross® Preferred HMO Silver Saver - HMO
    • Blue Cross® Preferred HMO Value - HMO
  • Blue Cross Blue Shield of Michigan Mutual Insurance Company

    • Blue Cross® Premier PPO Bronze Extra - PPO
    • Blue Cross® Premier PPO Bronze HSA - PPO
    • Blue Cross® Premier PPO Bronze Secure - PPO
    • Blue Cross® Premier PPO Gold - PPO
    • Blue Cross® Premier PPO Gold Extra - PPO
    • Blue Cross® Premier PPO Silver - PPO
    • Blue Cross® Premier PPO Silver Extra - PPO
    • Blue Cross® Premier PPO Silver Saver HSA - PPO
    • Blue Cross® Premier PPO Value - PPO
  • McLaren Health Plan Community

    • MHP Bronze - HMO
    • MHP Bronze Saver - HMO
    • MHP Bronze VCP - HMO
    • MHP Expanded Bronze Standard - HMO
    • MHP Gold - HMO
    • MHP Gold Standard - HMO
    • MHP Gold VCP - HMO
    • MHP Silver Exchange - HMO
    • MHP Silver Exchange Rewards - HMO
    • MHP Silver Exchange VCP - HMO
    • MHP Silver Standard - HMO
    • MHP Young Adult/Catastrophic - HMO
  • Molina Healthcare

    • 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
  • Physicians Health Plan

    • Physicians Health Plan HMO Catastrophic - HMO
    • Physicians Health Plan HMO Exclusive Bronze - HMO
    • Physicians Health Plan HMO Exclusive Bronze HSA - HMO
    • Physicians Health Plan HMO Exclusive Bronze Standard - HMO
    • Physicians Health Plan HMO Exclusive Gold Classic - HMO
    • Physicians Health Plan HMO Exclusive Gold Select - HMO
    • Physicians Health Plan HMO Exclusive Gold Standard - HMO
    • Physicians Health Plan HMO Exclusive Silver - HMO
    • Physicians Health Plan HMO Exclusive Silver Select Plus - HMO
    • Physicians Health Plan HMO Exclusive Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Phillip Paras 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

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 49503 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.16
  • Minimum New Patient Price $56.39
  • Maximum New Patient Price $172.8
  • Average New Patient Copayment $21.79
  • Minimum New Patient Copayment $14.09
  • Maximum New Patient Copayment $43.2

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.65
  • Minimum Established Patient Price $17.24
  • Maximum Established Patient Price $140.86
  • Average Established Patient Copayment $25.16
  • Minimum Established Patient Copayment $4.31
  • Maximum Established Patient Copayment $35.21

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for PHILLIP RICHTER PARAS 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.
1003016064
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030112012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 2 + 0 + 1 + 2 + 24 = 36
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 36 = 44

The NPI number 1003016064 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821088220 MELINDA E JOHNSON MD
Individual
Specialist330 BARCLAY AVE NE SUITE 304
GRAND RAPIDS, MI 49503
(616) 391-2967
1578501573DR. DANIEL JOHN ROBERTSON M.D.
Individual
Surgery (Pediatric Surgery)330 BARCLAY AVE NE SUITE 202
GRAND RAPIDS, MI 49503
(616) 458-1722
1255373270 JAMES A CHAMNESS MD
Individual
Pediatrics330 BARCLAY AVE NE STE 200
GRAND RAPIDS, MI 49503
(616) 391-2125
1073542395MRS. ANGELA KAY BARTON
Individual
Audiologist330 BARCLAY AVE NE SUITE GL1
GRAND RAPIDS, MI 49503
(616) 459-2424
1679622765DR. ROBERT ROBERT CONNORS MD
Individual
Surgery (Pediatric Surgery)330 BARCLAY AVE NE SUITE 202
GRAND RAPIDS, MI 49503
(616) 458-1722
1326197625DR. JAMES MICHAEL DECOU MD
Individual
Surgery (Pediatric Surgery)330 BARCLAY AVE NE SUITE 202
GRAND RAPIDS, MI 49503
(616) 458-1722
1326197476DR. NEAL DUANE UITVLUGT MD
Individual
Surgery (Pediatric Surgery)330 BARCLAY AVE NE SUITE 202
GRAND RAPIDS, MI 49503
(616) 458-1722
1235288317DR. MARC GODFREY SCHLATTER MD
Individual
Surgery (Pediatric Surgery)330 BARCLAY AVE NE SUITE202
GRAND RAPIDS, MI 49503
(616) 458-1722
1679701601GRAND RAPIDS MEDICAL EDUCATION AND RESEARCH CENTER
Organization
General Acute Care Hospital330 BARCLAY AVE NE SUITE 304
GRAND RAPIDS, MI 49503
(616) 391-2160
1861705022 LAAMY NASSARA TIADJERI M.D.
Individual
Obstetrics & Gynecology330 BARCLAY AVE NE SUITE 304
GRAND RAPIDS, MI 49503
(616) 391-1929
1609180389SPECTRUM HEALTH PRIMARY CARE PARTNERS
Organization
Ophthalmology330 BARCLAY AVE NE SUITE 104
GRAND RAPIDS, MI 49503
(616) 391-7948
1265734933SPECTRUM HEALTH PRIMARY CARE PARTNERS
Organization
Pediatrics330 BARCLAY AVE NE SUITE 303
GRAND RAPIDS, MI 49503
(616) 391-7999
1619274834SPECTRUM HEALTH HOSPITAL
Organization
Pediatrics330 BARCLAY AVE NE SUITE 303
GRAND RAPIDS, MI 49503
(616) 391-7999
1710240551DR. JONATHAN MCKEE M.D.
Individual
Obstetrics & Gynecology330 BARCLAY AVE NE SUITE 102
GRAND RAPIDS, MI 49503
(616) 391-1929
1083977813DR. DAVID JAMES DEWITT M.D.
Individual
Obstetrics & Gynecology330 BARCLAY AVE NE SUITE 102
GRAND RAPIDS, MI 49503
(616) 391-1929
1659341790 BENJAMIN G SARVER MD
Individual
Pediatrics330 BARCLAY AVE NE SUITE 300
GRAND RAPIDS, MI 49503
(616) 391-1719
1356508295DR. JARED LYON SKILLINGS PHD
Individual
Psychologist (Clinical)330 BARCLAY AVE NE
GRAND RAPIDS, MI 49503
(616) 391-2802
1952384372DR. ANGELA KAY THOMPSON-BUSCH M.D.,PH.D
Individual
Pediatrics330 BARCLAY AVE NE SUITE 300
GRAND RAPIDS, MI 49503
(616) 391-8100
1760792311 ASGHAR KHAGHANI MD
Individual
Transplant Surgery330 BARCLAY AVE NE SUITE 200
GRAND RAPIDS, MI 49503
(616) 391-2802
1386694958 EMILY T DURKIN M.D.
Individual
Surgery (Pediatric Surgery)330 BARCLAY AVE NE SUITE 202
GRAND RAPIDS, MI 49503
(616) 458-1722

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003016064, enumerated in the NPI registry as an "individual" on July 18, 2007

The provider is located at 330 Barclay Ave Ne Suite 300 Grand Rapids, Mi 49503 and the phone number is (616) 391-8810

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 2024 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.

Medicare beneficiaries should expect a typical cost of $87.16 with an average copayment of $21.79 for new patient appointments. Established patients should expect a typical charge of $100.65 and an average copayment of 25.16. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on July 18, 2007. 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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