ELEAZAR SAN-AGUSTIN M.D.
NPI 1083761365
Psychiatry & Neurology - Psychiatry in Milwaukee, WI

NPI Status: Active since January 05, 2007

Contact Information

4929 W FOND DU LAC AVE
MILWAUKEE, WI
ZIP 53216
Phone: (414) 871-6122

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Psychiatry
  • Accepts Insurance

About ELEAZAR SAN-AGUSTIN

This page provides the complete NPI Profile along with additional information for Eleazar San-agustin, a provider established in Milwaukee, Wisconsin with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1083761365 assigned on January 2007. The practitioner's primary taxonomy code is 2084P0800X with license number 21832 (WI). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1083761365
Provider Name
ELEAZAR SAN-AGUSTIN M.D.
Gender
Male
Entity Type
Individual
Location Address
4929 W FOND DU LAC AVE MILWAUKEE, WI 53216
Location Phone
(414) 871-6122
Mailing Address
4390 DRUID CT BROOKFIELD, WI 53005
Is Sole Proprietor?
Yes
Enumeration Date
01-05-2007
Last Update Date
07-08-2007
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A psychiatrist like Eleazar San-agustin are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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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

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
21832
License State
WI
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Insurance Plans Accepted

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

  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold Standard $2000 - EPO
  • CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver Standard $6000 - EPO
  • CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam - 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
F21792MEDICARE UPIN (02)WI 
30261400MEDICAID (05)WI 
00046219MEDICARE ID-TYPE UNSPECIFIED (04)WI 

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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 1083761365, 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
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 7 → 14 → 5 1 → 2 6 → 12 → 3

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 + 4 + 6 + 2 + 3 + 1 + 2 + 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 1083761365.

Other Providers at the Same Location


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

Registered Nurse (Psychiatric/Mental Health, Adult)
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Registered Nurse (Psychiatric/Mental Health, Adult)
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Registered Nurse (Psychiatric/Mental Health, Adult)
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Registered Nurse (Psychiatric/Mental Health, Adult)
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Social Worker
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Counselor (Mental Health)
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Nurse's Aide
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Case Manager/Care Coordinator
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Counselor (Addiction (Substance Use Disorder))
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Community/Behavioral Health
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Registered Nurse (Psychiatric/Mental Health, Adult)
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Social Worker (Clinical)
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Technician
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Technician
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Case Manager/Care Coordinator
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Case Manager/Care Coordinator
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Social Worker
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Social Worker
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Technician
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Case Manager/Care Coordinator
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083761365, enumerated as an "individual" on January 05, 2007.

The provider is located at 4929 W FOND DU LAC AVE MILWAUKEE, WI 53216 and the phone number is (414) 871-6122.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: CareSource (Common Ground Healthcare), Medicare. Please consult your insurance carrier or call the provider to verify.