DR. JYOTHSNA GATTINENI M.D. NPI 1003022765

Pediatrics (Pediatric Nephrology) in Dallas, TX

NPI 1003022765 Individual Female Years of Experience 28 Pediatrics Pediatric Nephrology PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for DR. JYOTHSNA GATTINENI M.D.

Jyothsna Gattineni is a pediatrician established in Dallas, Texas and her medical specialization is pediatrics (pediatric nephrology) with more than 28 years of experience. The NPI number of Jyothsna Gattineni is 1003022765 and was assigned on May 2007. The practitioner's primary taxonomy code is 2080P0210X with license number N0036 (TX). The provider is registered as an individual and her NPI record was last updated 10 years ago.

A pediatrician like Dr. Jyothsna Gattineni M.d. 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.

Jyothsna Gattineni 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.

Jyothsna Gattineni is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Childrens Medical Ctr Of Dallas.

NPI

1003022765

Provider NameDR. JYOTHSNA GATTINENI M.D.
Provider Location Address5323 HARRY HINES BLVD DALLAS, TX 75390
Provider Mailing AddressPO BOX 845347 DALLAS, TEXAS DALLAS, TX 75284
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1994
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-16-2007
Last Update Date03-09-2012


Primary Taxonomy

Taxonomy Code2080P0210X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
SpecializationPediatric Nephrology
License No.N0036
License StateTX
Taxonomy DescriptionA pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Business Address

DR. JYOTHSNA GATTINENI M.D.
5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390
Phone: (214) 648-3438

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Mailing Address

DR. JYOTHSNA GATTINENI M.D.
PO BOX 845347
DALLAS, TEXAS
DALLAS, TX
ZIP 75284
Phone: (214) 645-0600
Fax: (214) 645-2762



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID5799835526
PECOS Enrollment IDI20090616000618
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jyothsna Gattineni is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CHILDRENS MEDICAL CTR OF DALLAS1935 MEDICAL DISTRICT DRIVE
DALLAS, TX 75235
(214) 456-7000Childrens453302

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.
1003022765
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003024712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 4 + 7 + 1 + 2 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003022765 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104813088 KEVIN GINGRICH M.D.
Individual
Anesthesiology5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-7833
1700873627DR. JOSEPH K VAUGHAN JR. M.D.
Individual
Psychiatry & Neurology (Neurology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(903) 714-9044
1265423560DR. BRUCE A MEYER M.D.
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-9794
1063497378 GREGORY A MILLNAMOW MD
Individual
Radiology (Diagnostic Radiology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-8018
1598742223 SUNATI SAHOO MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 590-8607
1578541967MS. PIA BANERJI M.S., C.G.C
Individual
Genetic Counselor, MS5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-1998
1659342616 YISHENG V FANG MD
Individual
Pathology (Immunopathology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 590-8651
1679545164DR. IMRAN R. KHAWAJA MD
Individual
Internal Medicine5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-5777
1649244302DR. SARA ANTOINETTE MONAGHAN MD
Individual
Pathology (Hematology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-6312
1972578755DR. ALLEN FRANK MOREY MD
Individual
Urology5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8765
1093782781DR. MICHAEL F ZIDE DMD
Individual
Dentist5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-3034
1619946191 ORSON W MOE MD
Individual
Internal Medicine (Nephrology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8600
1528037009 WILLIS CROCKER MADDREY MD
Individual
Internal Medicine (Hepatology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-0624
1245209725 ROBERT DANIEL TOTO MD
Individual
Internal Medicine (Nephrology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-2888
1154390631 CYNTHIA JEAN RUTHERFORD MD
Individual
Internal Medicine (Hematology & Oncology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8600
1326017807 JOSEPH ERRICK RAVENELL MD
Individual
Internal Medicine5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-2888
1134198617 JOHN DOUGLAS RUTHERFORD MD
Individual
Internal Medicine (Cardiovascular Disease)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8000
1497724983 JONATHAN EDWARDS DOWELL MD
Individual
Internal Medicine (Hematology & Oncology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8600
1518936087 BARBARA JEAN HALEY MD
Individual
Internal Medicine (Hematology & Oncology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8600
1487623963 CHRISTOPHER YU-HUA LU MD
Individual
Internal Medicine (Nephrology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-3959

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. Jyothsna Gattineni 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.