SUSAN THERESA IANNACCONE MD NPI 1023078607
Psychiatry & Neurology (Neurology) in Dallas, TX
NPI Profile for SUSAN THERESA IANNACCONE MD
Susan Iannaccone is a provider established in Dallas, Texas and her medical specialization is psychiatry & neurology (neurology) . The NPI number of Susan Iannaccone is 1023078607 and was assigned on March 2006. The practitioner's primary taxonomy code is 2084N0400X with license number H8691 (TX). The provider is registered as an individual and her NPI record was last updated 10 years ago.
Susan Iannaccone 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..
Susan Iannaccone is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
NPI | 1023078607 |
Provider Name | SUSAN THERESA IANNACCONE MD |
Provider Location Address | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 |
Provider Mailing Address | P.O. BOX 845347 DALLAS, TX 75284 |
Gender | Female |
NPI Entity Type | Individual |
Is Sole Proprietor? | No |
Is Organization Subpart? | N/A |
Enumeration Date | 03-27-2006 |
Last Update Date | 05-25-2012 |
Primary Taxonomy
Taxonomy Code | 2084N0400X |
Classification | Psychiatry & Neurology |
Type | Allopathic & Osteopathic Physicians |
Specialization | Neurology |
License No. | H8691 |
License State | TX |
Taxonomy Description | A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Business Address
SUSAN THERESA IANNACCONE MD
5323 HARRY HINES BOULEVARD
DALLAS, TX
ZIP 75390
Phone: (214) 456-2768
Fax: (214) 456-6898
Mailing Address
SUSAN THERESA IANNACCONE MD
P.O. BOX 845347
DALLAS, TX
ZIP 75284
Phone: (214) 456-2768
Fax: (214) 456-6898
PECOS Enrollment and Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Registered in PECOS? | Yes |
Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
Eligible order / refer Durable Medical Equipment | Yes |
Eligible order / refer Home Health Agency (HHA) | Yes |
Eligible order / refer Power Mobility Devices | Yes |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
---|---|---|---|---|---|---|---|
1 | 2084N0402X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology with Special Qualifications in Child Neurology | H8691 | TX | No |
Taxonomy Description: a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State |
---|---|---|
A78014 | MEDICARE UPIN (02) | |
105947903 | MEDICAID (05) | TX |
8C8800 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX |
NPI Validation Check Digit Calculation
The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 2 | 3 | 0 | 7 | 8 | 6 | 0 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 4 | 3 | 0 | 7 | 16 | 6 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 4 + 3 + 0 + 7 + 1 + 6 + 6 + 0 + 24 = 53 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 53 = 7 | 7 |
The NPI number 1023078607 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1174584593 | CLAUS G ROEHRBORN MD Individual | Urology | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-0624 |
1245338623 | MR. KEMP H KERNSTINE MD, PH.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-7700 |
1285825505 | SHANNON ELIZABETH BLALOCK MD Individual | Pediatrics (Pediatric Cardiology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-2333 |
1184788416 | DR. DHARAM JAYDEEP KUMBHANI M.D. Individual | Internal Medicine (Cardiovascular Disease) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-8000 |
1013063627 | SASAN MIRFAKHRAEE MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-2800 |
1548307481 | DR. ISABEL CRISTINA ROJAS SANTAMARIA M.D. Individual | Pediatrics (Pediatric Gastroenterology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-8000 |
1154539534 | TARA MICHELLE DUVAL MD Individual | Internal Medicine (Geriatric Medicine) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-8600 |
1689834277 | DR. ABBIE MARTHA EWELL MD Individual | Psychiatry & Neurology (Psychiatry) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 590-8761 |
1235387531 | MANISH R MOHANKA MD, MPH Individual | Internal Medicine (Pulmonary Disease) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-2800 |
1104053628 | ANITA ANJALI HEGDE M.D. Individual | Internal Medicine | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 648-9741 |
1689965659 | DR. MICHELLE RIMA KANDALAFT PH.D. Individual | Psychologist | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 648-5160 |
1013977487 | DR. ARTHUR EDWARD FRANKEL MD Individual | Internal Medicine (Hematology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-4673 |
1932250115 | DR. BRIDGET DANIELLE STUART MD Individual | Pediatrics (Pediatric Pulmonology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 648-3903 |
1225229164 | DR. ZARMINA AMAN MD Individual | Obstetrics & Gynecology | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-3838 |
1609053875 | DR. DEVIKA RADHIKA RAO MD Individual | Pediatrics (Pediatric Pulmonology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-2857 |
1992956825 | SHAI MANZURI MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-5095 |
1841385580 | DR. CATHERINE B. ORSAK M.D. Individual | Psychiatry & Neurology (Psychiatry) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 648-3043 |
1750554689 | DR. DIANA PATRICIA CASTRO MD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 456-2768 |
1255356150 | DR. JASON PAUL CLARK MD Individual | Internal Medicine (Critical Care Medicine) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-2800 |
1629288550 | AURELIA MARIE SCHMALSTIEG M.D. Individual | Internal Medicine (Infectious Disease) | 5323 HARRY HINES BOULEVARD DALLAS, TX 75390 (214) 645-2800 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Susan Theresa Iannaccone Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.