MD NEURODIAGNOSTIC MGT SVCS INC
NPI 1114478849
Psychiatry & Neurology - Neurology in Lewisville, TX

NPI Status: Active since October 18, 2016

Contact Information

2781 ITHACA PLACE
LEWISVILLE, TX
ZIP 75067
Phone: (702) 530-7492
Fax: (877) 705-3046

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Psychiatry & Neurology
Neurology

About MD NEURODIAGNOSTIC MGT SVCS INC

This page provides the complete NPI Profile along with additional information for Md Neurodiagnostic Mgt Svcs Inc, a provider established in Lewisville, Texas operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1114478849 assigned on October 2016. The practitioner's primary taxonomy code is 2084N0400X with license number CA129953 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Adam A Siddiqui (Ceo/president)

NPI: 1114478849
Provider Name: MD NEURODIAGNOSTIC MGT SVCS INC
Entity Type: Organization
Location Address: 2781 ITHACA PLACE LEWISVILLE, TX 75067
Location Phone: (702) 530-7492
Location Fax: (877) 705-3046
Mailing Address: PO BOX 297 COPPELL, TX 75019
Mailing Phone: (702) 530-7492
Mailing Fax: (877) 705-3046
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-18-2016
Last Update Date: 11-15-2024
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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.: CA129953
License State: CA
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.

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	2084N0600X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology Clinical Neurophysiology	ME94218 (FL)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

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.

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. ADAM A SIDDIQUI
Authorized Official Title: CEO/PRESIDENT
Authorized Official Phone: (214) 972-8151

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
30990Z	OTHER (01)	FL	30990Z

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	1	4	4	7	8	8	4	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	2	4	8	7	16	8	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 8 + 7 + 1 + 6 + 8 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 9									9

The NPI number 1114478849 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 7 providers are registered at the same or nearby location.

WEST COAST NEUROMONITORY INC

Psychiatry & Neurology

(Neurology)