PATIENT DIAGNOSTICS PLLC
NPI 1063107738
Internal Medicine in West Bloomfield, MI

NPI Status: Active since April 10, 2023

Contact Information

6510 LEGACY WOODS TRL
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 469-5646

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  • Organization
  • Internal Medicine

About PATIENT DIAGNOSTICS PLLC

This page provides the complete NPI Profile along with additional information for Patient Diagnostics Pllc, an internist established in West Bloomfield, Michigan operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1063107738 assigned on April 2023. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Patient Diagnostics Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Nicholas Tisdale Md (Ceo & Medical Director)

NPI
1063107738
Provider Name
PATIENT DIAGNOSTICS PLLC
Entity Type
Organization
Location Address
6510 LEGACY WOODS TRL WEST BLOOMFIELD, MI 48322
Location Phone
(248) 469-5646
Mailing Address
6510 LEGACY WOODS TRL WEST BLOOMFIELD, MI 48322
Mailing Phone
(248) 469-5646
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2023
Last Update Date
04-10-2023
Code Navigator

An internist like Patient Diagnostics Pllc 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

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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)
1171400000XOther Service Providers

Health and Wellness Coach

 
2183500000XPharmacy Service Providers

Pharmacist

 
3207RB0002XAllopathic & Osteopathic Physicians

Internal Medicine
Obesity Medicine

 
4207RG0300XAllopathic & Osteopathic Physicians

Internal Medicine
Geriatric Medicine

 
5207RH0005XAllopathic & Osteopathic Physicians

Internal Medicine
Hypertension Specialist

 
62083C0008XAllopathic & Osteopathic Physicians

Preventive Medicine
Clinical Informatics

 
72083P0901XAllopathic & Osteopathic Physicians

Preventive Medicine
Public Health & General Preventive Medicine

 
82084B0040XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Behavioral Neurology & Neuropsychiatry

 
92084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 
10208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

 
11225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
12225500000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Specialist/Technologist

 
13246Z00000XTechnologists, Technicians & Other Technical Service Providers

Specialist/Technologist, Other

 
14332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. NICHOLAS TISDALE MD

Authorized Official Title
CEO & MEDICAL DIRECTOR
Authorized Official Phone
(248) 469-5646

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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 1063107738, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
8
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 6 → 12 → 3 1 → 2 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 2 + 0 + 1 + 4 + 7 + 6 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1063107738.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063107738, enumerated as an "organization" on April 10, 2023.

The provider is located at 6510 LEGACY WOODS TRL WEST BLOOMFIELD, MI 48322 and the phone number is (248) 469-5646.

Internal Medicine with taxonomy code 207R00000X.