DAVITA MEDICAL GROUP
NPI 1043687072
Non-Pharmacy Dispensing Site in Tampa, FL

NPI Status: Active since August 25, 2015

Contact Information

2727 W DR MLK BLVD
SUITE 850
TAMPA, FL
ZIP 33607
Phone: (813) 871-2717

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  • Organization
  • Non-Pharmacy Dispensing Site
  • Accepts Insurance

About DAVITA MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Davita Medical Group, a provider established in Tampa, Florida operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1043687072 assigned on August 2015. The practitioner's primary taxonomy code is 332900000X with license number ME81584 (FL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Davita Medical Group. The authorized official of this NPI record is John G. Liethen (Secretary)

NPI
1043687072
Provider Legal Name
OPTUMCARE FLORIDA, LLC
Other Organization Name
DAVITA MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2727 W DR MLK BLVD SUITE 850 TAMPA, FL 33607
Location Phone
(813) 871-2717
Mailing Address
10051 5TH STREET N. SUITE 200 ST. PETERSBURG, FL 33702
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-25-2015
Last Update Date
08-20-2019
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
ME81584
License State
FL
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Insurance Plans Accepted

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

  • 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
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $10,600 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,500 - HMO
  • Sanford Individual TRUE $7,200 HSA Qualified - HMO
  • Sanford Individual TRUE Standardized $2,000 - HMO
  • Sanford Individual TRUE Standardized $6,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO

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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN G. LIETHEN

Authorized Official Title
SECRETARY
Authorized Official Phone
(952) 205-6262

Reviews for DAVITA MEDICAL GROUP

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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 1043687072, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 6 → 12 → 3 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 8 + 3 + 1 + 2 + 8 + 1 + 4 + 0 + 1 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1043687072.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Internal Medicine
2727 W DR MLK BLVD, STE 630
TAMPA, FL 33607
Anesthesiologist Assistant
2727 W DR MLK BLVD, SUITE 310
TAMPA, FL 33607
Clinic/Center (Mental Health (Including Community Mental Health Center))
2727 W DR MLK BLVD, SUITE 640
TAMPA, FL 33607
Obstetrics & Gynecology
2727 W DR MLK BLVD, SUITE 630
TAMPA, FL 33607
Counselor (Mental Health)
2727 W DR MLK BLVD
TAMPA, FL 33607
Nurse Practitioner (Psychiatric/Mental Health)
2727 W DR MLK BLVD
TAMPA, FL 33607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043687072, enumerated as an "organization" on August 25, 2015.

The provider is located at 2727 W DR MLK BLVD SUITE 850 TAMPA, FL 33607 and the phone number is (813) 871-2717.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

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