DR. NICHOLAS MONGILLO M.D.
NPI 1073536710
Pediatrics - Adolescent Medicine in Shelton, CT
NPI Status: Active since July 25, 2006
Contact Information
25 CONSTITUTION BLVD. SO
SHELTON, CT
ZIP 06484
Phone: (203) 924-7334
Fax: (203) 922-0004
- Individual
- Male
- Pediatrics
- Adolescent Medicine
- PECOS Enrolled
About NICHOLAS MONGILLO
This page provides the complete NPI Profile along with additional information for Nicholas Mongillo, a pediatrician established in Shelton, Connecticut with a medical specialization in Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1073536710 assigned on July 2006. The practitioner's primary taxonomy code is 2080A0000X with license number 030893 (CT). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1073536710
- Provider Name
- DR. NICHOLAS MONGILLO M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 25 CONSTITUTION BLVD. SO SHELTON, CT 06484
- Location Phone
- (203) 924-7334
- Location Fax
- (203) 922-0004
- Mailing Address
- 25 CONSTITUTION BLVD S SHELTON, CT 06484
- Mailing Phone
- (203) 924-7334
- Mailing Fax
- (203) 922-0004
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-25-2006
- Last Update Date
- 01-06-2017
- Code Navigator
A pediatrician like Nicholas Mongillo 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.
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
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 030893
- License State
- CT
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Medicare Participation & PECOS Enrollment Status
Nicholas Mongillo 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
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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Unknown
Other-Enteral and Parenteral (OB006N)
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4035)
1 DME suppliers used 12 Medicare Claims 360 Services Paid
Other-Enteral and Parenteral (OB006N)
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4150)
1 DME suppliers used 12 Medicare Claims 3195 Services Paid
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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 1073536710, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
SHELTON, CT 06484
SHELTON, CT 06484
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073536710, enumerated as an "individual" on July 25, 2006.
The provider is located at 25 CONSTITUTION BLVD. SO SHELTON, CT 06484 and the phone number is (203) 924-7334.
Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.
