KAISER FOUNDATION HEALTH PLAN
NPI 1003934266
Health Maintenance Organization in Cleveland, OH

NPI Status: Active since March 27, 2007

Contact Information

1001 LAKESIDE AVE
SUITE 1200
CLEVELAND, OH
ZIP 44114
Phone: (216) 265-8844
Fax: (216) 265-8890

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  • Health Maintenance Organization

About KAISER FOUNDATION HEALTH PLAN

This page provides the complete NPI Profile along with additional information for Kaiser Foundation Health Plan, a provider established in Cleveland, Ohio operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1003934266 assigned on March 2007. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Thomas R Revis (Vp Chief Financial Officer)

NPI
1003934266
Provider Name
KAISER FOUNDATION HEALTH PLAN
Entity Type
Organization
Location Address
1001 LAKESIDE AVE SUITE 1200 CLEVELAND, OH 44114
Location Phone
(216) 265-8844
Location Fax
(216) 265-8890
Mailing Address
1001 LAKESIDE AVE SUITE 1200 CLEVELAND, OH 44114
Mailing Phone
(216) 265-8844
Mailing Fax
(216) 265-8890
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2007
Last Update Date
08-22-2020
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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

THOMAS R REVIS

Authorized Official Title
VP CHIEF FINANCIAL OFFICER
Authorized Official Phone
(211) 265-8810

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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 1003934266, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
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 9 → 18 → 9 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 0 + 3 + 1 + 8 + 3 + 8 + 2 + 1 + 2 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1003934266.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003934266, enumerated as an "organization" on March 27, 2007.

The provider is located at 1001 LAKESIDE AVE SUITE 1200 CLEVELAND, OH 44114 and the phone number is (216) 265-8844.

Health Maintenance Organization with taxonomy code 302R00000X.