DR. DAVID PAUL SHERIDAN M.D.
NPI 1023331360
General Practice in Katy, TX

NPI Status: Active since March 01, 2010

Contact Information

20214 BRAIDWOOD DR STE 215
KATY, TX
ZIP 77450
Phone: (281) 579-3600

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  • Individual
  • Male
  • General Practice
  • PECOS Enrolled
  • Opted-Out Medicare

About DAVID SHERIDAN

This page provides the complete NPI Profile along with additional information for David Sheridan, a primary care provider established in Katy, Texas with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1023331360 assigned on March 2010. The practitioner's primary taxonomy code is 208D00000X with license number L3820 (TX). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1023331360
Provider Name
DR. DAVID PAUL SHERIDAN M.D.
Gender
Male
Entity Type
Individual
Location Address
20214 BRAIDWOOD DR STE 215 KATY, TX 77450
Location Phone
(281) 579-3600
Mailing Address
20214 BRAIDWOOD DR STE 215 KATY, TX 77450
Mailing Phone
(281) 579-3600
Is Sole Proprietor?
No
Enumeration Date
03-01-2010
Last Update Date
03-01-2010
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A primary care provider (PCP) like David Sheridan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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. David Sheridan opted out of Medicare effective on 03-03-2012 until 03-03-2026. 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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
L3820
License State
TX
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS Enrollment Status

David Sheridan 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: 03-03-2012

  • Opt-Out End Date: 03-03-2026

  • 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

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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 1023331360, 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 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
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
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 3 → 6 1 → 2 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 + 6 + 3 + 2 + 3 + 1 + 2 + 24 = 50

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

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

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1023331360.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

General Practice
20214 BRAIDWOOD DR STE 215
KATY, TX 77450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023331360, enumerated as an "individual" on March 01, 2010.

The provider is located at 20214 BRAIDWOOD DR STE 215 KATY, TX 77450 and the phone number is (281) 579-3600.

General Practice with taxonomy code 208D00000X.