ANDREW B NEWBERG MD
NPI 1023046166
Nuclear Medicine in Philadelphia, PA

NPI Status: Active since June 29, 2006

Contact Information

925 CHESTNUT ST
SUITE 120
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 503-3422

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  • Individual
  • Male
  • Nuclear Medicine
  • PECOS Enrolled

About ANDREW NEWBERG

This page provides the complete NPI Profile along with additional information for Andrew Newberg, a provider established in Philadelphia, Pennsylvania with a medical specialization in Nuclear Medicine. The healthcare provider is registered in the NPI registry with number 1023046166 assigned on June 2006. The practitioner's primary taxonomy code is 207U00000X with license number MD057772L (PA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1023046166
Provider Name
ANDREW B NEWBERG MD
Gender
Male
Entity Type
Individual
Location Address
925 CHESTNUT ST SUITE 120 PHILADELPHIA, PA 19107
Location Phone
(215) 503-3422
Mailing Address
925 CHESTNUT ST SUITE 120 PHILADELPHIA, PA 19107
Mailing Phone
(215) 503-3422
Is Sole Proprietor?
No
Enumeration Date
06-29-2006
Last Update Date
03-06-2013
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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

Nuclear Medicine

Taxonomy Code
207U00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD057772L
License State
PA
Taxonomy Description
A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone

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
H01951MEDICARE UPIN (02) 
0017723070003MEDICAID (05)PA 
0017723070016MEDICAID (05)PA 
030554MEDICARE ID-TYPE UNSPECIFIED (04)PA 
9039708MEDICAID (05)NJ 

Medicare Participation & PECOS Enrollment Status

Andrew Newberg 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

  • 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

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19107 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $137.17
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $34.29
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.21
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $26.3
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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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 1023046166, 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 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
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
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 2 → 4 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 + 4 + 3 + 0 + 4 + 1 + 2 + 1 + 1 + 2 + 24 = 44

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

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1023046166.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapy Assistant
925 CHESTNUT ST, SUITE 6F, PHYSICAL THERAPY
PHILADELPHIA, PA 19107
Physical Therapist
925 CHESTNUT ST
PHILADELPHIA, PA 19107
Physical Therapist
925 CHESTNUT ST
PHILA, PA 19107
Internal Medicine (Medical Oncology)
925 CHESTNUT ST, SUITE 320A
PHILADELPHIA, PA 19107
Physical Therapist
925 CHESTNUT ST
PHILADELPHIA, PA 19107
Specialist/Technologist (Athletic Trainer)
925 CHESTNUT ST
PHILADELPHIA, PA 19107
Internal Medicine (Hematology & Oncology)
925 CHESTNUT ST, SUITE 420
PHILADELPHIA, PA 19107
Nurse Practitioner
925 CHESTNUT ST, MEZZANINE
PHILADELPHIA, PA 19107
Internal Medicine (Cardiovascular Disease)
925 CHESTNUT ST, MEZZANINE FLOOR
PHILADELPHIA, PA 19107
Internal Medicine (Cardiovascular Disease)
925 CHESTNUT ST
PHILADELPHIA, PA 19107
Internal Medicine (Cardiovascular Disease)
925 CHESTNUT ST
PHILADELPHIA, PA 19107
Internal Medicine (Cardiovascular Disease)
925 CHESTNUT ST, MEZZANINE FLOOR
PHILADELPHIA, PA 19107
Internal Medicine (Cardiovascular Disease)
925 CHESTNUT ST, MEZZANINE FLOOR
PHILADELPHIA, PA 19107
Otolaryngology (Plastic Surgery within the Head & Neck)
925 CHESTNUT ST, 6TH FLOOR
PHILADELPHIA, PA 19107
Internal Medicine (Medical Oncology)
925 CHESTNUT ST, SUITE 320A
PHILADELPHIA, PA 19107
Nurse Practitioner
925 CHESTNUT ST, 320A
PHILADELPHIA, PA 19107
Internal Medicine (Hematology & Oncology)
925 CHESTNUT ST, SUITE 320A
PHILADELPHIA, PA 19107
Orthopaedic Surgery
925 CHESTNUT ST
PHILADELPHIA, PA 19107
Otolaryngology
925 CHESTNUT ST, 6TH FLOOR
PHILADELPHIA, PA 19107
Nurse Practitioner (Adult Health)
925 CHESTNUT ST
PHILADELPHIA, PA 19107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023046166, enumerated as an "individual" on June 29, 2006.

The provider is located at 925 CHESTNUT ST SUITE 120 PHILADELPHIA, PA 19107 and the phone number is (215) 503-3422.

Nuclear Medicine with taxonomy code 207U00000X.

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