WILMA AGNELLO-DIMITRIJEVIC M.D.
NPI 1104865443
Psychiatry & Neurology - Neurology in Clinton Twp, MI

NPI Status: Active since June 05, 2006

Contact Information

15855 19 MILE RD
CLINTON TWP, MI
ZIP 48038
Phone: (586) 263-2300

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  • Individual
  • Female
  • Psychiatry & Neurology
  • Neurology

About WILMA AGNELLO-DIMITRIJEVIC

This page provides the complete NPI Profile along with additional information for Wilma Agnello-dimitrijevic, a provider established in Clinton Twp, Michigan with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1104865443 assigned on June 2006. The practitioner's primary taxonomy code is 2084N0400X with license number WA058316 (MI). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1104865443
Provider Name
WILMA AGNELLO-DIMITRIJEVIC M.D.
Gender
Female
Entity Type
Individual
Location Address
15855 19 MILE RD CLINTON TWP, MI 48038
Location Phone
(586) 263-2300
Mailing Address
43421 GARFIELD RD STE1 CLINTON TWP, MI 48038
Mailing Phone
(586) 286-5500
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
06-05-2006
Last Update Date
08-01-2008
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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 Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
WA058316
License State
MI
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Insurance Plans Accepted

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

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
3290951MEDICAID (05)MI 
OM28930MEDICARE ID-TYPE UNSPECIFIED (04)MI 
0N31900022MEDICARE PIN (08)MI 
G35382MEDICARE UPIN (02)MI 
1104865443MEDICAID (05)MI 

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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 1104865443, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
3
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 0 → 0 8 → 16 → 7 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 6 + 6 + 1 + 0 + 4 + 8 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1104865443.

Other Providers at the Same Location


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

Nurse Practitioner
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Family)
15855 19 MILE RD
CLINTON TWP, MI 48038
Emergency Medicine
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Practitioner
15855 19 MILE RD, EMERGENCY MEDICINE DEPARTMENT
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Pharmacist
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Pathology (Anatomic Pathology & Clinical Pathology)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Psychiatry & Neurology (Psychiatry)
15855 19 MILE RD
CLINTON TWP, MI 48038
Pathology (Anatomic Pathology & Clinical Pathology)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Pharmacist
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Social Worker
15855 19 MILE RD
CLINTON TWP, MI 48038
Anesthesiology
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Anesthesiology
15855 19 MILE RD
CLINTON TWP, MI 48038
Anesthesiology
15855 19 MILE RD
CLINTON TWP, MI 48038

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104865443, enumerated as an "individual" on June 05, 2006.

The provider is located at 15855 19 MILE RD CLINTON TWP, MI 48038 and the phone number is (586) 263-2300.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.