SUPERIOR PERFORMANCE CENTER SPORTS MEDICINE, PAIN, SPINE, REHABILITAT
NPI 1083124010
Clinic/Center in New Hope, MN

NPI Status: Active since October 04, 2017

Contact Information

9220 BASS LAKE RD
SUITE 350
NEW HOPE, MN
ZIP 55428
Phone: (763) 208-9545
Fax: (651) 927-8668

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Accepts Insurance

About SUPERIOR PERFORMANCE CENTER SPORTS MEDICINE, PAIN, SPINE, REHABILITAT

This page provides the complete NPI Profile along with additional information for Superior Performance Center Sports Medicine, Pain, Spine, Rehabilitat, a provider established in New Hope, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1083124010 assigned on October 2017. The practitioner's primary taxonomy code is 261Q00000X with license number 58656 (MN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Superior Performance Center Sports Medicine, Pain, Spine, Rehabilitat. The authorized official of this NPI record is Dr. Serge B Pierrecharles Md (Owner)

NPI: 1083124010
Provider Legal Name: SERGE B PIERRECHARLES MEDICAL GROUP PLLC
Other Organization Name: SUPERIOR PERFORMANCE CENTER SPORTS MEDICINE, PAIN, SPINE, REHABILITAT
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 9220 BASS LAKE RD SUITE 350 NEW HOPE, MN 55428
Location Phone: (763) 208-9545
Location Fax: (651) 927-8668
Mailing Address: 9220 BASS LAKE RD SUITE 350 NEW HOPE, MN 55428
Mailing Phone: (763) 208-9545
Mailing Fax: (651) 927-8668
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-04-2017
Last Update Date: 03-25-2020
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Location Map

Secondary Locations

360 Sherman St Ste 300
Saint Paul, MN 55102
(763) 208-9545

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
Taxonomy Code: 261Q00000X
Type: Ambulatory Health Care Facilities
License No.: 58656
License State: MN
Taxonomy Description: A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

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

Medica

Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
Medica Individual Choice Bronze Share - HMO
Medica Individual Choice Expanded Bronze Standard - HMO
Medica Individual Choice Gold $0 Copay PCP Visits - HMO
Medica Individual Choice Gold Share - HMO
Medica Individual Choice Gold Standard - HMO
Medica Individual Choice Silver $0 Copay PCP Visits - HMO
Medica Individual Choice Silver Share - HMO
Medica Individual Choice Silver Standard - 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: DR. SERGE B PIERRECHARLES MD
Authorized Official Title: OWNER
Authorized Official Phone: (646) 234-3795

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 1083124010, 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.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 16 → 1 + 6

Pos 4

Unchanged

Pos 5

Doubled → 2

Pos 6

Unchanged

Pos 7

Doubled → 8

Pos 8

Unchanged

Pos 9

Doubled → 2

Check

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 8 → 16 → 7 1 → 2 4 → 8 1 → 2