KAMILL R DEL TORO M.D.
NPI 1083885875
Pediatrics - Pediatric Cardiology in New Orleans, LA

NPI Status: Active since March 19, 2008

Contact Information

1315 JEFFERSON HWY
NEW ORLEANS, LA
ZIP 70121
Phone: (504) 842-5200
Fax: (504) 842-5647

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Years of Experience 22
Pediatrics
Pediatric Cardiology
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled

About KAMILL DEL TORO

This page provides the complete NPI Profile along with additional information for Kamill Del Toro, a pediatrician established in New Orleans, Louisiana with a medical specialization in Pediatrics, focusing in pediatric cardiology and more than 22 years of experience. She graduated from University Of Puerto Rico School Of Medicine in 2004. The healthcare provider is registered in the NPI registry with number 1083885875 assigned on March 2008. The practitioner's primary taxonomy code is 2080P0202X with license number MD.200694 (LA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI: 1083885875
Provider Name: KAMILL R DEL TORO M.D.
Gender: Female
Entity Type: Individual
Location Address: 1315 JEFFERSON HWY NEW ORLEANS, LA 70121
Location Phone: (504) 842-5200
Location Fax: (504) 842-5647
Mailing Address: 1514 JEFFERSON HWY NEW ORLEANS, LA 70121
Mailing Phone: (504) 842-4000
Medical School Name: UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduation Year: 2004
Is Sole Proprietor?: Yes
Enumeration Date: 03-19-2008
Last Update Date: 11-14-2016
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A pediatrician like Kamill Del Toro 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 Pediatric Cardiology
Taxonomy Code: 2080P0202X
Type: Allopathic & Osteopathic Physicians
License No.: MD.200694
License State: LA
Taxonomy Description: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

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)
1	208000000X	Allopathic & Osteopathic Physicians	Pediatrics	200694 (LA)

Insurance Plans Accepted

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

Blue Cross and Blue Shield of Louisiana

Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
Blue Saver 60/40 $6100 - PPO
Blue Saver 90/70 $3400 - PPO

CHRISTUS Health Plan

CHRISTUS Bronze (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
CHRISTUS Bronze + Dental & Vision (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
CHRISTUS Bronze Essential - HMO
CHRISTUS Bronze Essential (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
CHRISTUS Bronze Essential + Dental & Vision (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
CHRISTUS Bronze Essential Plus - HMO
CHRISTUS Catastrophic (3 Free PCP visits) - HMO
CHRISTUS Gold - HMO
CHRISTUS Gold + Dental & Vision + Fitness ($0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care) - HMO
CHRISTUS Gold + Fitness ($0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care) - HMO
CHRISTUS Gold Essential - HMO
CHRISTUS Gold Essential ($0 Rx Deductible, $5 PCP, $0 Virtual Urgent Care) - HMO
CHRISTUS Gold Essential + Dental & Vision ($0 Rx Deductible, $5 PCP, $0 Virtual Urgent Care) - HMO
CHRISTUS Gold Essential Plus - HMO
CHRISTUS Gold Plus - HMO
CHRISTUS Silver Essential - HMO
CHRISTUS Silver Essential 70 ($5 PCP, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
CHRISTUS Silver Essential 70 + Dental & Vision ($5 PCP, $0 Preferred Generic Rx, $0 Virtual Urgent Care) - HMO
CHRISTUS Silver Essential Plus - HMO
CHRISTUS Standard Expanded Bronze - HMO

HMO Louisiana

Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (L) - POS
Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (N) - POS
Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (S) - POS
Blue Connect Copay (PCP) 50/50 $7500 Standardized (H) HSA Eligible - POS
Blue Connect Copay (PCP) 50/50 $7500 Standardized (L) HSA Eligible - POS
Blue Connect Copay (PCP) 50/50 $7500 Standardized (N) HSA Eligible - POS
Blue Connect Copay (PCP) 50/50 $7500 Standardized (S) HSA Eligible - POS
Blue Connect Copay (PCP) 60/40 $6000 Standardized (L) - POS
Blue Connect Copay (PCP) 60/40 $6000 Standardized (N) - POS
Blue Connect Copay (PCP) 60/40 $6000 Standardized (S) - POS
Blue Connect Copay (PCP) 75/55 $2000 Standardized (H) - POS
Blue Connect Copay (PCP) 75/55 $2000 Standardized (L) - POS
Blue Connect Copay (PCP) 75/55 $2000 Standardized (N) - POS
Blue Connect Copay (PCP) 75/55 $2000 Standardized (S) - POS
Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
Blue POS Copay (PCP) 75/55 $2000 Standardized - POS

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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
08327248	MEDICAID (05)	MS
4N069CQ60	MEDICARE PIN (08)	LA
1069728	MEDICAID (05)	LA
530691YH3U	MEDICARE PIN (08)	LA
530691YH3V	MEDICARE PIN (08)	LA

Medicare Participation & PECOS Enrollment Status

Kamill Del Toro is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kamill Del Toro 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
PECOS PAC ID: 7012087851
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20080605000028
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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

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 1083885875, 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 16 → 1 + 6

Pos 4

Unchanged

Pos 5

Doubled → 16 → 1 + 6

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 14 → 1 + 4

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 8 → 16 → 7 5 → 10 → 1 7 → 14 → 5

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 + 6 + 8 + 1 + 0 + 8 + 1 + 4 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1083885875.