SCOTT SABOLICH PROSTHETICS & RESEARCH LLC
NPI 1124075833
Prosthetic/Orthotic Supplier in Oklahoma City, OK

NPI Status: Active since May 28, 2006

Contact Information

10201 BROADWAY EXT
OKLAHOMA CITY, OK
ZIP 73114
Phone: (405) 463-0203
Fax: (405) 463-0251

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About SCOTT SABOLICH PROSTHETICS & RESEARCH LLC

This page provides the complete NPI Profile along with additional information for Scott Sabolich Prosthetics & Research Llc, a provider established in Oklahoma City, Oklahoma operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1124075833 assigned on May 2006. The practitioner's primary taxonomy code is 335E00000X with license number CP2626 (OK). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Kimberly Ann Lewis Cpco (Evp Of Licensure & Accreditation)

NPI
1124075833
Provider Name
SCOTT SABOLICH PROSTHETICS & RESEARCH LLC
Entity Type
Organization
Location Address
10201 BROADWAY EXT OKLAHOMA CITY, OK 73114
Location Phone
(405) 463-0203
Location Fax
(405) 463-0251
Mailing Address
PO BOX 16231 OKLAHOMA CITY, OK 73113
Mailing Phone
(405) 463-0203
Mailing Fax
(405) 463-0251
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-28-2006
Last Update Date
10-27-2022
Code Navigator



Scott Sabolich Prosthetics & Research Llc is a medicare supplier with PTAN 20307719 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Lymphedema Compression Treatment Items.

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

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
License No.
CP2626
License State
OK
Taxonomy Description
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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

KIMBERLY ANN LEWIS CPCO

Authorized Official Title
EVP OF LICENSURE & ACCREDITATION
Authorized Official Phone
(512) 806-2861

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
100812550AMEDICAID (05)OK 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20307719
Accepts Medicare Assignment
NO
Specialities List
Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Lymphedema Compression Treatment Items -

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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 1124075833, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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

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 + 7 + 1 + 0 + 8 + 6 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1124075833.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Prosthetic/Orthotic Supplier
10201 BROADWAY EXT
OKLAHOMA CITY, OK 73114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124075833, enumerated as an "organization" on May 28, 2006.

The provider is located at 10201 BROADWAY EXT OKLAHOMA CITY, OK 73114 and the phone number is (405) 463-0203.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

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