JAMES DENNIS O'TOOLE MD
NPI 1043214463
Internal Medicine - Cardiovascular Disease in Pittsburgh, PA
NPI Status: Active since June 13, 2005
Contact Information
5200 CENTRE AVE
STE 703
PITTSBURGH, PA
ZIP 15232
Phone: (412) 687-8300
Fax: (412) 687-8391
- Individual
- Male
- Internal Medicine
- Cardiovascular Disease
- Medicare Quality Reporting
About JAMES O'TOOLE
This page provides the complete NPI Profile along with additional information for James O'toole, an internist established in Pittsburgh, Pennsylvania with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1043214463 assigned on June 2005. The practitioner's primary taxonomy code is 207RC0000X with license number MD012868E (PA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1043214463
- Provider Name
- JAMES DENNIS O'TOOLE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5200 CENTRE AVE STE 703 PITTSBURGH, PA 15232
- Location Phone
- (412) 687-8300
- Location Fax
- (412) 687-8391
- Mailing Address
- 5200 CENTRE AVE STE 703 PITTSBURGH, PA 15232
- Mailing Phone
- (412) 687-8300
- Mailing Fax
- (412) 687-8391
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-13-2005
- Last Update Date
- 07-08-2007
- Code Navigator
An internist like James O'toole is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD012868E
- License State
- PA
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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) |
|---|---|---|---|---|
| 1 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | 30568 (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 |
|---|---|---|---|
| 140966 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 0178211000 | MEDICAID (05) | WV | |
| 0007965470004 | MEDICAID (05) | PA | |
| B39072 | MEDICARE UPIN (02) |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Pneumococcal Vaccination Status for Older Adults | 54% | 207 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
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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 1043214463, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
PITTSBURGH, PA 15232
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043214463, enumerated as an "individual" on June 13, 2005.
The provider is located at 5200 CENTRE AVE STE 703 PITTSBURGH, PA 15232 and the phone number is (412) 687-8300.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
