EL TAL MD PC
NPI 1003290750
Dermatology - MOHS-Micrographic Surgery in Grand Rapids, MI

NPI Status: Active since July 13, 2015

Contact Information

555 MIDTOWNE ST NE STE 301
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 248-8864
Fax: (616) 248-8874

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  • Organization
  • Dermatology
  • MOHS-Micrographic Surgery

About EL TAL MD PC

This page provides the complete NPI Profile along with additional information for El Tal Md Pc, a provider established in Grand Rapids, Michigan operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1003290750 assigned on July 2015. The practitioner's primary taxonomy code is 207ND0101X with license number 4301089516 (MI). The provider is registered as an organization and their NPI record was last updated 11 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. Abdel K El Tal Md (President)

NPI
1003290750
Provider Name
EL TAL MD PC
Entity Type
Organization
Location Address
555 MIDTOWNE ST NE STE 301 GRAND RAPIDS, MI 49503
Location Phone
(616) 248-8864
Location Fax
(616) 248-8874
Mailing Address
24330 ANN ARBOR TRL DEARBORN HEIGHTS, MI 48127
Mailing Phone
(313) 312-9050
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2015
Last Update Date
07-13-2015
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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

Dermatology MOHS-Micrographic Surgery

Taxonomy Code
207ND0101X
Type
Allopathic & Osteopathic Physicians
License No.
4301089516
License State
MI
Taxonomy Description
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

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.

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. ABDEL K EL TAL MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(313) 312-9050

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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 1003290750, 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 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
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
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 2 → 4 0 → 0 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 + 4 + 9 + 0 + 7 + 1 + 0 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1003290750.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant
555 MIDTOWNE ST NE STE 301
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003290750, enumerated as an "organization" on July 13, 2015.

The provider is located at 555 MIDTOWNE ST NE STE 301 GRAND RAPIDS, MI 49503 and the phone number is (616) 248-8864.

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.