DONALD PATRICK DENNIS MD
NPI 1023198660
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Atlanta, GA

NPI Status: Active since October 17, 2006

Contact Information

3193 HOWELL MILL RD
#215
ATLANTA, GA
ZIP 30327
Phone: (404) 355-1312
Fax: (404) 352-2798

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  • Individual
  • Male
  • Years of Experience 46
  • Otolaryngology
  • Otolaryngology/Facial Plastic Surgery
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About DONALD DENNIS

This page provides the complete NPI Profile along with additional information for Donald Dennis, a provider established in Atlanta, Georgia with a medical specialization in Otolaryngology, focusing in otolaryngology/facial plastic surgery and more than 46 years of experience. He graduated from Johns Hopkins University School Of Medicine in 1980. The healthcare provider is registered in the NPI registry with number 1023198660 assigned on October 2006. The practitioner's primary taxonomy code is 207YX0905X with license number 17006 (GA). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1023198660
Provider Name
DONALD PATRICK DENNIS MD
Gender
Male
Entity Type
Individual
Location Address
3193 HOWELL MILL RD #215 ATLANTA, GA 30327
Location Phone
(404) 355-1312
Location Fax
(404) 352-2798
Mailing Address
3193 HOWELL MILL RD #215 ATLANTA, GA 30327
Mailing Phone
(404) 355-1312
Mailing Fax
(404) 352-2798
Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1980
Is Sole Proprietor?
No
Enumeration Date
10-17-2006
Last Update Date
07-08-2007
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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

Otolaryngology Otolaryngology/Facial Plastic Surgery

Taxonomy Code
207YX0905X
Type
Allopathic & Osteopathic Physicians
License No.
17006
License State
GA
Taxonomy Description
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

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
04BDCBPMEDICARE ID-TYPE UNSPECIFIED (04)GA 
D39727MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Donald Dennis is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Donald Dennis 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

  • PECOS PAC ID: 1759542533

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20150126000831

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Diagnostic exam of nasal passages using an endoscope

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

This service was performed 72 times for 42 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 128 times for 48 patients

Exam of nasal passage and sinus using an endoscope

This procedure involves a doctor examining your nasal passage and sinuses using a thin, flexible tube called an endoscope. It helps in diagnosing issues like sinusitis or nasal blockages. It's a quick, usually painless process.

This service was performed 54 times for 24 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 11 times for 11 patients

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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 1023198660, 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
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 2 → 4 1 → 2 8 → 16 → 7 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 + 2 + 9 + 1 + 6 + 6 + 1 + 2 + 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 1023198660.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist
3193 HOWELL MILL RD, SUITE 230
ATLANTA, GA 30327
Internal Medicine
3193 HOWELL MILL RD, STE 223 PACES FERRY MEDICAL GROUP PC
ATLANTA, GA 30327
Counselor (Professional)
3193 HOWELL MILL RD, SUITE 225
ATLANTA, GA 30327

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023198660, enumerated as an "individual" on October 17, 2006.

The provider is located at 3193 HOWELL MILL RD #215 ATLANTA, GA 30327 and the phone number is (404) 355-1312.

Otolaryngology with taxonomy code 207YX0905X and a focus in Otolaryngology/Facial Plastic Surgery.

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