INSTITUTE FOR LOW BACK CARE LLC
NPI 1124125109
Clinic/Center - Ambulatory Surgical in Fargo, ND

NPI Status: Active since September 20, 2006

Contact Information

300 MAIN AVE
SUITE 212
FARGO, ND
ZIP 58103
Phone: (701) 297-0817
Fax: (701) 297-6870

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance

About INSTITUTE FOR LOW BACK CARE LLC

This page provides the complete NPI Profile along with additional information for Institute For Low Back Care Llc, a provider established in Fargo, North Dakota operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1124125109 assigned on September 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 4806 (ND). The provider is registered as an organization and their NPI record was last updated 13 years ago. Institute For Low Back Care Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Panjini M. Sivanna Md (President)

NPI
1124125109
Provider Name
INSTITUTE FOR LOW BACK CARE LLC
Entity Type
Organization
Location Address
300 MAIN AVE SUITE 212 FARGO, ND 58103
Location Phone
(701) 297-0817
Location Fax
(701) 297-6870
Mailing Address
300 MAIN AVE SUITE 212 FARGO, ND 58103
Mailing Phone
(701) 297-0817
Mailing Fax
(701) 297-6870
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2006
Last Update Date
05-07-2013
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
4806
License State
ND

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)
1174400000XOther Service Providers

Specialist

4806 (ND)
2261QP3300XAmbulatory Health Care Facilities

Clinic/Center
Pain

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Gold $10 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Silver $20 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
  • BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible - PPO
  • BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan) - PPO
  • BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
  • BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
  • DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

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

DR. PANJINI M. SIVANNA MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(701) 297-0817

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
N711315MEDICARE ID-TYPE UNSPECIFIED (04)NDPROVIDER NUMBER
6826334MEDICAID (05)ND 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 138 times for 63 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 29 times for 19 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

This service was performed 26 times for 17 patients

Reviews for INSTITUTE FOR LOW BACK CARE LLC

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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 1124125109, we treat the final digit (9) 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 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 2 + 2 + 1 + 0 + 1 + 0 + 24 = 41

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

The next multiple of ten after 41 is 50. The difference is the calculated check digit.

50 - 41 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1124125109.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Family Medicine
300 MAIN AVE, SUITE 200
FARGO, ND 58103
Anesthesiology (Pain Medicine)
300 MAIN AVE, STE 200
FARGO, ND 58103
Clinic/Center (Ambulatory Surgical)
300 MAIN AVE, SUITE 201
FARGO, ND 58103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124125109, enumerated as an "organization" on September 20, 2006.

The provider is located at 300 MAIN AVE SUITE 212 FARGO, ND 58103 and the phone number is (701) 297-0817.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Sanford. Please consult your insurance carrier or call the provider to verify.