WAYNE STATE UNIVERSITY PHYSICIAN GROUP
NPI 1114384757
Eyewear Supplier in Southfield, MI

NPI Status: Active since January 27, 2016

Contact Information

26400 W 12 MILE RD
SUITE 60
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 594-6702
Fax: (248) 594-6738

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  • Organization
  • Eyewear Supplier
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About WAYNE STATE UNIVERSITY PHYSICIAN GROUP

This page provides the complete NPI Profile along with additional information for Wayne State University Physician Group, a provider established in Southfield, Michigan operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1114384757 assigned on January 2016. The practitioner's primary taxonomy code is 332H00000X with license number 4301054761 (MI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Wayne State University Physician Group. The authorized official of this NPI record is Mr. Jeffery P Kohlitz (Chief Financial Officer)

NPI
1114384757
Provider Legal Name
UNIVERSITY PHYSICIAN GROUP
Other Organization Name
WAYNE STATE UNIVERSITY PHYSICIAN GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
26400 W 12 MILE RD SUITE 60 SOUTHFIELD, MI 48034
Location Phone
(248) 594-6702
Location Fax
(248) 594-6738
Mailing Address
1560 E. MAPLE RD. SUITE 400-CREDENTIALING TROY, MI 48083
Mailing Phone
(248) 581-5973
Mailing Fax
(248) 594-6738
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-27-2016
Last Update Date
12-01-2016
Code Navigator



Wayne State University Physician Group is a medicare supplier with PTAN 20306483 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.

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

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
License No.
4301054761
License State
MI
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JEFFERY P KOHLITZ

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(248) 581-5930

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
5717980008MEDICARE NSC (07)MI 
5717980008OTHER (01)MINGS

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20306483
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses

Reviews for WAYNE STATE UNIVERSITY PHYSICIAN GROUP

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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 1114384757, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
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 1 → 2 3 → 6 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 6 + 8 + 8 + 7 + 1 + 0 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1114384757.

Other Providers at the Same Location


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

Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, STE 170
SOUTHFIELD, MI 48034
Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, STE 170
SOUTHFIELD, MI 48034
Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, STE 170
SOUTHFIELD, MI 48034
Dermatology
26400 W 12 MILE RD, STE 150
SOUTHFIELD, MI 48034
Dermatology
26400 W 12 MILE RD, SUITE 150
SOUTHFIELD, MI 48034
Family Medicine
26400 W 12 MILE RD, SUITE 150
SOUTHFIELD, MI 48034
Psychiatry & Neurology (Neurology)
26400 W 12 MILE RD, STE 110
SOUTHFIELD, MI 48034
Dentist
26400 W 12 MILE RD, SUITE#160
SOUTHFIELD, MI 48034
Urology
26400 W 12 MILE RD, SUITE 70
SOUTHFIELD, MI 48034
Preventive Medicine (Occupational Medicine)
26400 W 12 MILE RD, SUITE 111
SOUTHFIELD, MI 48034
Dermatology (MOHS-Micrographic Surgery)
26400 W 12 MILE RD, SUITE 180
SOUTHFIELD, MI 48034
Dermatology (MOHS-Micrographic Surgery)
26400 W 12 MILE RD, SUITE 180
SOUTHFIELD, MI 48034
Internal Medicine (Gastroenterology)
26400 W 12 MILE RD, STE 111
SOUTHFIELD, MI 48034
Obstetrics & Gynecology
26400 W 12 MILE RD, STE 140
SOUTHFIELD, MI 48034
Obstetrics & Gynecology (Gynecology)
26400 W 12 MILE RD, SUITE 140
SOUTHFIELD, MI 48034
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
26400 W 12 MILE RD, SUITE 112
SOUTHFIELD, MI 48034
Ophthalmology
26400 W 12 MILE RD, STE 60
SOUTHFIELD, MI 48034
Family Medicine
26400 W 12 MILE RD, STE 111
SOUTHFIELD, MI 48034
Hearing Aid Equipment
26400 W 12 MILE RD, SUITE 111
SOUTHFIELD, MI 48034
Obstetrics & Gynecology
26400 W 12 MILE RD, SUITE 140
SOUTHFIELD, MI 48034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114384757, enumerated as an "organization" on January 27, 2016.

The provider is located at 26400 W 12 MILE RD SUITE 60 SOUTHFIELD, MI 48034 and the phone number is (248) 594-6702.

Eyewear Supplier with taxonomy code 332H00000X.

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