SOUTHLAKE KIDNEY SPECIALISTS, PLLC
NPI 1003465790
Internal Medicine - Nephrology in Southlake, TX

NPI Status: Active since September 05, 2019

Contact Information

630 N KIMBALL AVE STE 100
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 733-9367

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  • Organization
  • Internal Medicine
  • Nephrology
  • Accepts Insurance

About SOUTHLAKE KIDNEY SPECIALISTS, PLLC

This page provides the complete NPI Profile along with additional information for Southlake Kidney Specialists, Pllc, an internist established in Southlake, Texas operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1003465790 assigned on September 2019. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated 6 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. Sharmila Devidoss Md (Physician)

NPI
1003465790
Provider Name
SOUTHLAKE KIDNEY SPECIALISTS, PLLC
Entity Type
Organization
Location Address
630 N KIMBALL AVE STE 100 SOUTHLAKE, TX 76092
Location Phone
(817) 733-9367
Mailing Address
701 MONTE CARLO DR SOUTHLAKE, TX 76092
Mailing Phone
(817) 733-9367
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-05-2019
Last Update Date
01-29-2020
Code Navigator

An internist like Southlake Kidney Specialists, Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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

*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. SHARMILA DEVIDOSS MD

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(817) 733-9367

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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 1003465790, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 4 → 8 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 0 + 3 + 8 + 6 + 1 + 0 + 7 + 1 + 8 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1003465790.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
630 N KIMBALL AVE STE 100
SOUTHLAKE, TX 76092
Physician Assistant (Medical)
630 N KIMBALL AVE STE 100
SOUTHLAKE, TX 76092

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003465790, enumerated as an "organization" on September 05, 2019.

The provider is located at 630 N KIMBALL AVE STE 100 SOUTHLAKE, TX 76092 and the phone number is (817) 733-9367.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

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