DR. ADEL BOZORGZADEH MD
NPI 1083640825
Surgery in Gillette, WY

NPI Status: Active since June 23, 2006

Contact Information

469 HIGHWAY 50
GILLETTE, WY
ZIP 82718
Phone: (307) 387-9850
Fax: (307) 387-9890

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  • Individual
  • Male
  • Surgery
  • Accepts Insurance
  • PECOS Enrolled

About ADEL BOZORGZADEH

This page provides the complete NPI Profile along with additional information for Adel Bozorgzadeh, a provider established in Gillette, Wyoming with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1083640825 assigned on June 2006. The practitioner's primary taxonomy code is 208600000X with license number TL8537 (WY). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1083640825
Provider Name
DR. ADEL BOZORGZADEH MD
Gender
Male
Entity Type
Individual
Location Address
469 HIGHWAY 50 GILLETTE, WY 82718
Location Phone
(307) 387-9850
Location Fax
(307) 387-9890
Mailing Address
201 W LAKEWAY RD STE 1004 GILLETTE, WY 82718
Mailing Phone
(307) 387-9850
Mailing Fax
(307) 387-9890
Is Sole Proprietor?
No
Enumeration Date
06-23-2006
Last Update Date
01-02-2025
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A surgeon like Adel Bozorgzadeh treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
TL8537
License State
WY
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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)
1204F00000XAllopathic & Osteopathic Physicians

Transplant Surgery

238379 (MA)

Insurance Plans Accepted

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

  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Value HSA (No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Gold Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO
  • UHC Silver Value ($0 Virtual Urgent Care, No Referrals) - EPO

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.

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
110081143AMEDICAID (05)MA 

Medicare Participation & PECOS Enrollment Status

Adel Bozorgzadeh 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

  • Treatment-Treatment - Miscellaneous (RX029N)

    Tacrolimus, immediate release, oral, 1 mg (HCPCS:J7507)

    1 DME suppliers used 14 Medicare Claims 1590 Services Paid

  • Treatment-Treatment - Miscellaneous (RX029N)

    Prednisone, immediate release or delayed release, oral, 1 mg (HCPCS:J7512)

    1 DME suppliers used 19 Medicare Claims 3375 Services Paid

  • Treatment-Chemotherapy (RH012N)

    Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period (HCPCS:Q0511)

    1 DME suppliers used 17 Medicare Claims 17 Services Paid

  • Treatment-Chemotherapy (RH012N)

    Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)

    1 DME suppliers used 26 Medicare Claims 26 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 82718 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.12
  • Minimum New Patient Price $56.42
  • Maximum New Patient Price $170.72
  • Average New Patient Copayment $21.78
  • Minimum New Patient Copayment $14.1
  • Maximum New Patient Copayment $42.68

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.32
  • Minimum Established Patient Price $18.19
  • Maximum Established Patient Price $139.32
  • Average Established Patient Copayment $17.58
  • Minimum Established Patient Copayment $4.54
  • Maximum Established Patient Copayment $34.83

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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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 1083640825, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
5
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 6 → 12 → 3 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 6 + 3 + 1 + 2 + 4 + 0 + 8 + 4 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1083640825.

Other Providers at the Same Location


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

Nurse Practitioner (Family)
469 HIGHWAY 50
GILLETTE, WY 82718
Nurse Practitioner (Family)
469 HIGHWAY 50
GILLETTE, WY 82718
Podiatrist (Foot & Ankle Surgery)
469 HIGHWAY 50
GILLETTE, WY 82718
Pharmacist
469 HIGHWAY 50
GILLETTE, WY 82718
Pharmacy
469 HIGHWAY 50
GILLETTE, WY 82718
Family Medicine
469 HIGHWAY 50
GILLETTE, WY 82718
Nurse Practitioner (Primary Care)
469 HIGHWAY 50
GILLETTE, WY 82718
Dietitian, Registered
469 HIGHWAY 50
GILLETTE, WY 82718
Nurse Practitioner (Family)
469 HIGHWAY 50
GILLETTE, WY 82718
Internal Medicine (Infectious Disease)
469 HIGHWAY 50
GILLETTE, WY 82718
Internal Medicine
469 HIGHWAY 50
GILLETTE, WY 82718
Counselor (Professional)
469 HIGHWAY 50
GILLETTE, WY 82718
Internal Medicine (Nephrology)
469 HIGHWAY 50
GILLETTE, WY 82718
Podiatrist
469 HIGHWAY 50
GILLETTE, WY 82718
Family Medicine
469 HIGHWAY 50
GILLETTE, WY 82718
Family Medicine (Sleep Medicine)
469 HIGHWAY 50
GILLETTE, WY 82718
Clinic/Center (Multi-Specialty)
469 HIGHWAY 50
GILLETTE, WY 82718
Nurse Practitioner (Pediatrics)
469 HIGHWAY 50
GILLETTE, WY 82718
Internal Medicine (Cardiovascular Disease)
469 HIGHWAY 50
GILLETTE, WY 82718
Internal Medicine (Rheumatology)
469 HIGHWAY 50
GILLETTE, WY 82718

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083640825, enumerated as an "individual" on June 23, 2006.

The provider is located at 469 HIGHWAY 50 GILLETTE, WY 82718 and the phone number is (307) 387-9850.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming,. Please consult your insurance carrier or call the provider to verify.