MID-ATLANTIC ALLERGY & ASTHMA
NPI 1063762417
Clinic/Center - Medical Specialty in Elkridge, MD

NPI Status: Active since September 13, 2012

Contact Information

8182 LARK BROWN ROAD
ELKRIDGE, MD
ZIP 21075
Phone: (410) 908-6466
Fax: (410) 531-6466

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • CLIA Number: 21D0862693
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 01-08-2026

About MID-ATLANTIC ALLERGY & ASTHMA

This page provides the complete NPI Profile along with additional information for Mid-atlantic Allergy & Asthma, a provider established in Elkridge, Maryland operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1063762417 assigned on September 2012. The practitioner's primary taxonomy code is 261QM2500X with license number D46931 (MD). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Michael H Goldman M.d. (Owner)

NPI
1063762417
Provider Name
MID-ATLANTIC ALLERGY & ASTHMA
Entity Type
Organization
Location Address
8182 LARK BROWN ROAD ELKRIDGE, MD 21075
Location Phone
(410) 908-6466
Location Fax
(410) 531-6466
Mailing Address
6500 EARLY LILY ROW COLUMBIA, MD 21044
Mailing Phone
(410) 531-6466
Mailing Fax
(410) 531-6466
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-13-2012
Last Update Date
09-13-2012
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
D46931
License State
MD
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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.

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. MICHAEL H GOLDMAN M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(410) 908-6466

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
G42594MEDICARE UPIN (02) 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D0862693
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
January 09, 2024
Certificate Expiration Date
January 08, 2026
Laboratory Director
PAUL E. TURER MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Mid-atlantic Allergy & Asthma in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1063762417, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
7
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 7 → 14 → 5 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 + 1 + 2 + 3 + 1 + 4 + 6 + 4 + 4 + 2 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1063762417.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063762417, enumerated as an "organization" on September 13, 2012.

The provider is located at 8182 LARK BROWN ROAD ELKRIDGE, MD 21075 and the phone number is (410) 908-6466.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.