TERESA ANN CLAUS MD
NPI 1124036074
Obstetrics & Gynecology - Gynecology in Sherman Oaks, CA

NPI Status: Active since August 04, 2006

Contact Information

4835 VAN NUYS BLVD
SUITE 208
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 905-1920
Fax: (818) 905-1932

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  • Individual
  • Female
  • Obstetrics & Gynecology
  • Gynecology
  • PECOS Enrolled

About TERESA CLAUS

This page provides the complete NPI Profile along with additional information for Teresa Claus, a women's health care provider established in Sherman Oaks, California with a medical specialization in Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1124036074 assigned on August 2006. The practitioner's primary taxonomy code is 207VG0400X with license number G77444 (CA). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1124036074
Provider Name
TERESA ANN CLAUS MD
Gender
Female
Entity Type
Individual
Location Address
4835 VAN NUYS BLVD SUITE 208 SHERMAN OAKS, CA 91403
Location Phone
(818) 905-1920
Location Fax
(818) 905-1932
Mailing Address
4835 VAN NUYS BLVD SUITE 208 SHERMAN OAKS, CA 91403
Mailing Phone
(818) 905-1920
Mailing Fax
(818) 905-1932
Is Sole Proprietor?
No
Enumeration Date
08-04-2006
Last Update Date
09-02-2010
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Women's health care providers like Teresa Claus treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

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

Obstetrics & Gynecology Gynecology

Taxonomy Code
207VG0400X
Type
Allopathic & Osteopathic Physicians
License No.
G77444
License State
CA
Taxonomy Description
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

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.

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
00G774440OTHER (01)BLUE SHIELD
G77444MEDICARE ID-TYPE UNSPECIFIED (04) 
G27973MEDICARE UPIN (02) 
DF334AMEDICARE PIN (08) 

Medicare Participation & PECOS Enrollment Status

Teresa Claus 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

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 91403 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $142.39
  • Minimum New Patient Price $62.96
  • Maximum New Patient Price $187.6
  • Average New Patient Copayment $35.59
  • Minimum New Patient Copayment $15.74
  • Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $77.96
  • Minimum Established Patient Price $20.84
  • Maximum Established Patient Price $153.61
  • Average Established Patient Copayment $19.49
  • Minimum Established Patient Copayment $5.21
  • Maximum Established Patient Copayment $38.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for TERESA ANN CLAUS MD

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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 1124036074, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 2 → 4 0 → 0 6 → 12 → 3 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 + 4 + 4 + 0 + 3 + 1 + 2 + 0 + 1 + 4 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1124036074.

Other Providers at the Same Location


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

Specialist
4835 VAN NUYS BLVD, STE 215
SHERMAN OAKS, CA 91403
Psychiatry & Neurology (Geriatric Psychiatry)
4835 VAN NUYS BLVD, #104
SHERMAN OAKS, CA 91403
Podiatrist (Foot & Ankle Surgery)
4835 VAN NUYS BLVD, SUITE 216
SHERMAN OAKS, CA 91403
Chiropractor
4835 VAN NUYS BLVD, SUITE # 212
SHERMAN OAKS, CA 91403
Podiatrist (Foot & Ankle Surgery)
4835 VAN NUYS BLVD, SUITE 216
SHERMAN OAKS, CA 91403
Psychiatry & Neurology (Psychiatry)
4835 VAN NUYS BLVD, STE 104
SHERMAN OAKS, CA 91403
Physical Medicine & Rehabilitation (Pain Medicine)
4835 VAN NUYS BLVD, SUITE 100
SHERMAN OAKS, CA 91403
Internal Medicine (Cardiovascular Disease)
4835 VAN NUYS BLVD, SUITE 114
SHERMAN OAKS, CA 91403
Clinic/Center (Pain)
4835 VAN NUYS BLVD, SUITE 100
SHERMAN OAKS, CA 91403
Durable Medical Equipment & Medical Supplies
4835 VAN NUYS BLVD, SUITE 108
SHERMAN OAKS, CA 91403
Orthopaedic Surgery
4835 VAN NUYS BLVD, SUITE 210
SHERMAN OAKS, CA 91403
Point of Service
4835 VAN NUYS BLVD, SUITE 100
SHERMAN OAKS, CA 91403
Chiropractor
4835 VAN NUYS BLVD, SUITE 100
SHERMAN OAKS, CA 91403
Nurse Practitioner
4835 VAN NUYS BLVD, SUITE 200
SHERMAN OAKS, CA 91403
Chiropractor
4835 VAN NUYS BLVD, SUITE 105
SHERMAN OAKS, CA 91403
Family Medicine
4835 VAN NUYS BLVD, 208
SHERMAN OAKS, CA 91403
Physical Medicine & Rehabilitation
4835 VAN NUYS BLVD, SUITE 105
SHERMAN OAKS, CA 91403
Physician Assistant
4835 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
Family Medicine
4835 VAN NUYS BLVD, 208
SHERMAN OAKS, CA 91403
Chiropractor
4835 VAN NUYS BLVD, SUITE 100
SHERMAN OAKS, CA 91403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124036074, enumerated as an "individual" on August 04, 2006.

The provider is located at 4835 VAN NUYS BLVD SUITE 208 SHERMAN OAKS, CA 91403 and the phone number is (818) 905-1920.

Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.

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