DR. BIJOY DAMODARAN THATTALIYATH M.D.
NPI 1043482912
Pediatrics - Pediatric Cardiology in Iowa City, IA

NPI Status: Active since March 31, 2008

Contact Information

200 HAWKINS DR
DEPARTMENT OF PEDIATRICS
IOWA CITY, IA
ZIP 52242
Phone: (352) 219-6107

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  • Individual
  • Male
  • Years of Experience 34
  • Pediatrics
  • Pediatric Cardiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About BIJOY THATTALIYATH

This page provides the complete NPI Profile along with additional information for Bijoy Thattaliyath, a pediatrician established in Iowa City, Iowa with a medical specialization in Pediatrics, focusing in pediatric cardiology and more than 34 years of experience. The healthcare provider is registered in the NPI registry with number 1043482912 assigned on March 2008. The practitioner's primary taxonomy code is 2080P0202X with license number 2011-01418 (NC). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1043482912
Provider Name
DR. BIJOY DAMODARAN THATTALIYATH M.D.
Gender
Male
Entity Type
Individual
Location Address
200 HAWKINS DR DEPARTMENT OF PEDIATRICS IOWA CITY, IA 52242
Location Phone
(352) 219-6107
Mailing Address
200 HAWKINS DR DEPARTMENT OF PEDIATRICS IOWA CITY, IA 52242
Mailing Phone
(352) 219-6107
Medical School Name
OTHER
Graduation Year
1992
Is Sole Proprietor?
No
Enumeration Date
03-31-2008
Last Update Date
08-11-2016
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A pediatrician like Bijoy Thattaliyath is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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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

Pediatrics Pediatric Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
License No.
2011-01418
License State
NC
Taxonomy Description
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

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)
12080P0202XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Cardiology

MD-43679 (IA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Bijoy Thattaliyath is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Bijoy Thattaliyath 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: 9032404090

    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: I20160830000975

    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? Yes

    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

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Bijoy Thattaliyath is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIVERSITY OF IOWA HOSPITAL & CLINICS200 HAWKINS DRIVE
IOWA CITY, IA 52242
(319) 356-1616Acute Care Hospitals

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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 1043482912, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 4 → 8 4 → 8 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 8 + 8 + 4 + 9 + 2 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1043482912.

Other Providers at the Same Location


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

Pharmacist
200 HAWKINS DR
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Surgery (Vascular Surgery)
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Ophthalmology
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Ophthalmology
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Optometrist
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Urology
200 HAWKINS DR
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Ophthalmology
200 HAWKINS DR
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Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
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Urology
200 HAWKINS DR
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Optometrist
200 HAWKINS DR
IOWA CITY, IA 52242
Surgery
200 HAWKINS DR
IOWA CITY, IA 52242
Urology
200 HAWKINS DR
IOWA CITY, IA 52242
Physician Assistant
200 HAWKINS DR
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Optometrist
200 HAWKINS DR
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Ophthalmology
200 HAWKINS DR
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Surgery (Surgical Oncology)
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043482912, enumerated as an "individual" on March 31, 2008.

The provider is located at 200 HAWKINS DR DEPARTMENT OF PEDIATRICS IOWA CITY, IA 52242 and the phone number is (352) 219-6107.

Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

The provider might be accepting Accepts: Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.

Bijoy Thattaliyath is affiliated with: UNIVERSITY OF IOWA HOSPITAL & CLINICS.