EDWIN A CORTEZ MD
NPI 1013076769
Plastic Surgery - Plastic Surgery Within the Head and Neck in Overland Park, KS

NPI Status: Active since December 08, 2006

Contact Information

14241 METCALF AVENUE
OVERLAND PARK, KS
ZIP 66223
Phone: (913) 421-7970
Fax: (913) 421-1226

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  • Individual
  • Male
  • Plastic Surgery
  • Plastic Surgery Within the Head and Neck
  • PECOS Enrolled
  • Opted-Out Medicare

About EDWIN CORTEZ

This page provides the complete NPI Profile along with additional information for Edwin Cortez, a provider established in Overland Park, Kansas with a medical specialization in Plastic Surgery, focusing in plastic surgery within the head and neck . The healthcare provider is registered in the NPI registry with number 1013076769 assigned on December 2006. The practitioner's primary taxonomy code is 2082S0099X with license number 04-18825 (KS). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1013076769
Provider Name
EDWIN A CORTEZ MD
Gender
Male
Entity Type
Individual
Location Address
14241 METCALF AVENUE OVERLAND PARK, KS 66223
Location Phone
(913) 421-7970
Location Fax
(913) 421-1226
Mailing Address
14241 METCALF AVENUE OVERLAND PARK, KS 66223
Mailing Phone
(913) 421-7970
Mailing Fax
(913) 421-1226
Is Sole Proprietor?
No
Enumeration Date
12-08-2006
Last Update Date
07-08-2007
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Edwin Cortez opted out of Medicare effective on 04-01-2000 until 04-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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

Plastic Surgery Plastic Surgery Within the Head and Neck

Taxonomy Code
2082S0099X
Type
Allopathic & Osteopathic Physicians
License No.
04-18825
License State
KS
Taxonomy Description
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12082S0099XAllopathic & Osteopathic Physicians

Plastic Surgery
Plastic Surgery Within the Head and Neck

R6119 (MO)

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C50509MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Edwin Cortez 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

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 04-01-2000

  • Opt-Out End Date: 04-01-2026

  • Eligible to Order and Refer? 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

Reviews for EDWIN A CORTEZ MD

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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 1013076769, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
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 1 → 2 0 → 0 6 → 12 → 3 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 + 2 + 3 + 0 + 7 + 1 + 2 + 7 + 1 + 2 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1013076769.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013076769, enumerated as an "individual" on December 08, 2006.

The provider is located at 14241 METCALF AVENUE OVERLAND PARK, KS 66223 and the phone number is (913) 421-7970.

Plastic Surgery with taxonomy code 2082S0099X and a focus in Plastic Surgery Within the Head and Neck.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.