DR. KERRI SHANE PARKS M.D.
NPI 1104893775
Specialist in Glendale, CA

NPI Status: Active since March 02, 2006

Contact Information

1808 VERDUGO BLVD
SUITE 208
GLENDALE, CA
ZIP 91208
Phone: (818) 952-5322
Fax: (818) 952-7993

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  • Individual
  • Female
  • Specialist
  • PECOS Enrolled
  • Medicare Quality Reporting

About KERRI PARKS

This page provides the complete NPI Profile along with additional information for Kerri Parks, a provider established in Glendale, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1104893775 assigned on March 2006. The practitioner's primary taxonomy code is 174400000X with license number A65496 (CA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1104893775
Provider Name
DR. KERRI SHANE PARKS M.D.
Gender
Female
Entity Type
Individual
Location Address
1808 VERDUGO BLVD SUITE 208 GLENDALE, CA 91208
Location Phone
(818) 952-5322
Location Fax
(818) 952-7993
Mailing Address
1808 VERDUGO BLVD SUITE 208 GLENDALE, CA 91208
Mailing Phone
(818) 952-5322
Mailing Fax
(818) 952-7993
Is Sole Proprietor?
No
Enumeration Date
03-02-2006
Last Update Date
12-07-2007
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
A65496
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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
WA65496DMEDICARE UPIN (02)CA 
GR0102260MEDICAID (05)CA 
H31405MEDICARE UPIN (02)CA 

Medicare Participation & PECOS Enrollment Status

Kerri Parks 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

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Breast Cancer Screening 81% 433
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Chronic Care and Preventative Care Management for Empaneled PatientsYesN/A
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 53% 1442
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 71% 1185
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

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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 1104893775, 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
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
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 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 0 → 0 8 → 16 → 7 3 → 6 7 → 14 → 5

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 + 9 + 6 + 7 + 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 1104893775.

Other Providers at the Same Location


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

Specialist
1808 VERDUGO BLVD, SUITE 208
GLENDALE, CA 91208
Internal Medicine
1808 VERDUGO BLVD, SUITE 403
GLENDALE, CA 91208
Specialist
1808 VERDUGO BLVD, SUITE 418
GLENDALE, CA 91208
Ophthalmology
1808 VERDUGO BLVD, SUITE 103
GLENDALE, CA 91208
Surgery
1808 VERDUGO BLVD, SUITE 409
GLENDALE, CA 91208
Marriage & Family Therapist
1808 VERDUGO BLVD, SUITE 301
GLENDALE, CA 91208
Ophthalmology
1808 VERDUGO BLVD, SUITE 206
GLENDALE, CA 91208
Orthopaedic Surgery
1808 VERDUGO BLVD, 112
GLENDALE, CA 91208
Ophthalmology
1808 VERDUGO BLVD, SUITE 103
GLENDALE, CA 91208
Plastic Surgery
1808 VERDUGO BLVD, SUITE 118
GLENDALE, CA 91208
Urology
1808 VERDUGO BLVD, SUITE 318
GLENDALE, CA 91208
Plastic Surgery
1808 VERDUGO BLVD, SUITE 208
GLENDALE, CA 91208
Ophthalmology
1808 VERDUGO BLVD, SUITE 103
GLENDALE, CA 91208
Acupuncturist
1808 VERDUGO BLVD, SUITE 208
GLENDALE, CA 91208
Technician/Technologist (Optician)
1808 VERDUGO BLVD, #120 VERDUGO OPTICAL
GLENDALE, CA 91208
Surgery
1808 VERDUGO BLVD, SUITE 409
GLENDALE, CA 91208
Specialist
1808 VERDUGO BLVD, #208
GLENDALE, CA 91208
Obstetrics & Gynecology
1808 VERDUGO BLVD, SUITE 404
GLENDALE, CA 91208
Clinic/Center (Medical Specialty)
1808 VERDUGO BLVD, 404
GLENDALE, CA 91208
Specialist
1808 VERDUGO BLVD, SUITE 404
GLENDALE, CA 91208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104893775, enumerated as an "individual" on March 02, 2006.

The provider is located at 1808 VERDUGO BLVD SUITE 208 GLENDALE, CA 91208 and the phone number is (818) 952-5322.

Specialist with taxonomy code 174400000X.

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