SHOTARO IMAIZUMI M.D.
NPI 1114906302
Pathology - Anatomic Pathology & Clinical Pathology in Wynnewood, PA

NPI Status: Active since January 16, 2006

Contact Information

100 E LANCASTER AVE
WYNNEWOOD, PA
ZIP 19096
Phone: (610) 645-2613

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  • Individual
  • Male
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • Medicare Quality Reporting

About SHOTARO IMAIZUMI

This page provides the complete NPI Profile along with additional information for Shotaro Imaizumi, a provider established in Wynnewood, Pennsylvania with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1114906302 assigned on January 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number MD026155E (PA). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1114906302
Provider Name
SHOTARO IMAIZUMI M.D.
Gender
Male
Entity Type
Individual
Location Address
100 E LANCASTER AVE WYNNEWOOD, PA 19096
Location Phone
(610) 645-2613
Mailing Address
100 E LANCASTER AVE WYNNEWOOD, PA 19096
Mailing Phone
(610) 645-2613
Is Sole Proprietor?
Yes
Enumeration Date
01-16-2006
Last Update Date
07-08-2007
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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

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
MD026155E
License State
PA
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

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
C34089MEDICARE UPIN (02)PA 

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
Participation in Joint Commission Evaluation InitiativeYesN/A
Participation in Joint Commission Ongoing Professional Practice Evaluation initiative
Participation in Quality Improvement InitiativesYesN/A
Participation in other quality improvement programs such as Bridges to Excellence or American Board of Medical Specialties (ABMS) Multi-Specialty Portfolio Program.

Reviews for SHOTARO IMAIZUMI M.D.

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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 1114906302, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
2
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 9 → 18 → 9 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 1 + 8 + 0 + 1 + 2 + 3 + 0 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1114906302.

Other Providers at the Same Location


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

Surgery
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Surgery
100 E LANCASTER AVE, 4404 MEDICAL SCIENCE BUILDING
WYNNEWOOD, PA 19096
Colon & Rectal Surgery
100 E LANCASTER AVE, SUITE 275 LANKENAU MED SCI BLDG.
WYNNEWOOD, PA 19096
Internal Medicine (Cardiovascular Disease)
100 E LANCASTER AVE, SUITE 356 LANKENAU MOB EAST
WYNNEWOOD, PA 19096
Internal Medicine (Cardiovascular Disease)
100 E LANCASTER AVE, STE 356EAST
WYNNEWOOD, PA 19096
Ophthalmology
100 E LANCASTER AVE, SUITE 256 MEDICAL BLDG EAST
WYNNEWOOD, PA 19096
Ophthalmology
100 E LANCASTER AVE, SUITE 256 MEDICAL BLDG EAST
WYNNEWOOD, PA 19096
Radiology (Radiation Oncology)
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Radiology (Radiation Oncology)
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Skilled Nursing Facility
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Podiatrist
100 E LANCASTER AVE, SUITE 117
WYNNEWOOD, PA 19096
Internal Medicine (Nephrology)
100 E LANCASTER AVE, SUITE 130 MEDICAL BUILDING WEST
WYNNEWOOD, PA 19096
Internal Medicine (Nephrology)
100 E LANCASTER AVE, SUITE 130 MEDICAL BUILDING WEST
WYNNEWOOD, PA 19096
Nurse Practitioner (Family)
100 E LANCASTER AVE, SUITE 108
WYNNEWOOD, PA 19096
Podiatrist
100 E LANCASTER AVE, STE 117
WYNNEWOOD, PA 19096
Internal Medicine (Hematology & Oncology)
100 E LANCASTER AVE, SUITE 417
WYNNEWOOD, PA 19096
Radiology (Neuroradiology)
100 E LANCASTER AVE, DEPT OF RADIOLOGY
WYNNEWOOD, PA 19096
Pathology (Anatomic Pathology & Clinical Pathology)
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Pathology (Anatomic Pathology & Clinical Pathology)
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Pathology (Anatomic Pathology & Clinical Pathology)
100 E LANCASTER AVE
WYNNEWOOD, PA 19096

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114906302, enumerated as an "individual" on January 16, 2006.

The provider is located at 100 E LANCASTER AVE WYNNEWOOD, PA 19096 and the phone number is (610) 645-2613.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

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