DR. ALISA ANA ACOSTA MD, MPH
NPI 1053553214
Pediatrics - Pediatric Nephrology in Temple, TX

NPI Status: Active since April 01, 2009

Contact Information

2401 S 31ST ST
TEMPLE, TX
ZIP 76508
Phone: (254) 724-2111

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  • Individual
  • Female
  • Years of Experience 25
  • Pediatrics
  • Pediatric Nephrology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ALISA ACOSTA

This page provides the complete NPI Profile along with additional information for Alisa Acosta, a pediatrician established in Temple, Texas with a medical specialization in Pediatrics, focusing in pediatric nephrology and more than 25 years of experience. She graduated from University Of Texas Medical School At Houston in 2001. The healthcare provider is registered in the NPI registry with number 1053553214 assigned on April 2009. The practitioner's primary taxonomy code is 2080P0210X with license number L9983 (TX). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1053553214
Provider Name
DR. ALISA ANA ACOSTA MD, MPH
Gender
Female
Entity Type
Individual
Location Address
2401 S 31ST ST TEMPLE, TX 76508
Location Phone
(254) 724-2111
Mailing Address
13311 HIGH STAR DR HOUSTON, TX 77083
Mailing Phone
(713) 252-5443
Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year
2001
Is Sole Proprietor?
Yes
Enumeration Date
04-01-2009
Last Update Date
04-01-2009
Code Navigator

A pediatrician like Alisa Acosta 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 Nephrology

Taxonomy Code
2080P0210X
Type
Allopathic & Osteopathic Physicians
License No.
L9983
License State
TX
Taxonomy Description
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Insurance Plans Accepted

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

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO

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

Medicare Participation & PECOS Enrollment Status

Alisa Acosta 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.

Alisa Acosta 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: 9537212303

    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: I20090728000282

    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. Alisa Acosta is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
TEXAS CHILDRENS HOSP6621 FANNIN STREET
HOUSTON, TX 77030
(832) 824-1000Childrens

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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 1053553214, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
4
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 5 → 10 → 1 5 → 10 → 1 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 1 + 0 + 5 + 6 + 2 + 2 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1053553214.

Other Providers at the Same Location


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

Clinical Nurse Specialist (Adult Health)
2401 S 31ST ST
TEMPLE, TX 76508
Internal Medicine (Gastroenterology)
2401 S 31ST ST
TEMPLE, TX 76508
Internal Medicine
2401 S 31ST ST
TEMPLE, TX 76508
Pediatrics
2401 S 31ST ST
TEMPLE, TX 76508
Obstetrics & Gynecology
2401 S 31ST ST
TEMPLE, TX 76508
Ophthalmology
2401 S 31ST ST
TEMPLE, TX 76508
Anesthesiology
2401 S 31ST ST
TEMPLE, TX 76508
Psychiatry & Neurology (Neurology)
2401 S 31ST ST
TEMPLE, TX 76508
Radiology (Radiation Oncology)
2401 S 31ST ST
TEMPLE, TX 76508
Pathology (Anatomic Pathology & Clinical Pathology)
2401 S 31ST ST
TEMPLE, TX 76508
Surgery
2401 S 31ST ST
TEMPLE, TX 76508
Obstetrics & Gynecology
2401 S 31ST ST
TEMPLE, TX 76508
Emergency Medicine
2401 S 31ST ST
TEMPLE, TX 76508
Pediatrics
2401 S 31ST ST
TEMPLE, TX 76508
Surgery (Plastic and Reconstructive Surgery)
2401 S 31ST ST
TEMPLE, TX 76508
Internal Medicine (Hematology & Oncology)
2401 S 31ST ST
TEMPLE, TX 76508
Internal Medicine
2401 S 31ST ST
TEMPLE, TX 76508
Pediatrics
2401 S 31ST ST
TEMPLE, TX 76508
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2401 S 31ST ST
TEMPLE, TX 76508
Obstetrics & Gynecology
2401 S 31ST ST
TEMPLE, TX 76508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053553214, enumerated as an "individual" on April 01, 2009.

The provider is located at 2401 S 31ST ST TEMPLE, TX 76508 and the phone number is (254) 724-2111.

Pediatrics with taxonomy code 2080P0210X and a focus in Pediatric Nephrology.

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

Alisa Acosta is affiliated with: TEXAS CHILDRENS HOSP.