DONALD LEE KETTWICH M.D.
NPI 1124179486
Urology in Albuquerque, NM

NPI Status: Active since January 15, 2007

Contact Information

711 ENCINO PL NE
SUITE E
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 245-5737
Fax: (505) 245-5739

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  • Individual
  • Male
  • Urology

About DONALD KETTWICH

This page provides the complete NPI Profile along with additional information for Donald Kettwich, a provider established in Albuquerque, New Mexico with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1124179486 assigned on January 2007. The practitioner's primary taxonomy code is 208800000X with license number 76-208 (NM). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1124179486
Provider Name
DONALD LEE KETTWICH M.D.
Gender
Male
Entity Type
Individual
Location Address
711 ENCINO PL NE SUITE E ALBUQUERQUE, NM 87102
Location Phone
(505) 245-5737
Location Fax
(505) 245-5739
Mailing Address
711 ENCINO PL NE SUITE E ALBUQUERQUE, NM 87102
Mailing Phone
(505) 245-5737
Mailing Fax
(505) 245-5739
Is Sole Proprietor?
Yes
Enumeration Date
01-15-2007
Last Update Date
05-23-2008
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
76-208
License State
NM
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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.

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.

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
85-0284119OTHER (01)NMAARP
335731901MEDICARE PIN (08)NM 
85-0284119OTHER (01)NME.B.C.
85-0284119OTHER (01)NMIBEW-NECA
85-0284119OTHER (01)NMJOHN ALDEN
85-0284119OTHER (01)NMUPREHS
85-0284119OTHER (01)NMTRICARE FOR LIFE
85-0284119OTHER (01)NMUNITED AMERICAN
85-0284119OTHER (01)NMCIGNA
85-0284119OTHER (01)NMAETNA
00015941MEDICAID (05)NM 
85-0284119OTHER (01)NMN.M. PIPE TRADES
85-0284119OTHER (01)NMLOVELACE HEALTH PLAN
826341273MEDICARE ID-TYPE UNSPECIFIED (04)NMRAILROAD MEDICARE
85-0284119OTHER (01)NMGEHA
85-0284119OTHER (01)NMUNITED HEALTHCARE
201005185OTHER (01)NMPRESBYTERIAN HEALTH PLAN
00NM019E05OTHER (01)NMBLUE CROSS-BLUE SHIELD-NM
85-0284119OTHER (01)NMPRINCIPAL LIFE INS.
C97883MEDICARE UPIN (02)NM 

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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 1124179486, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 9 → 18 → 9 8 → 16 → 7

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 + 7 + 1 + 8 + 4 + 1 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1124179486.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Family Medicine
711 ENCINO PL NE, SUITE D
ALBUQUERQUE, NM 87102
Family Medicine
711 ENCINO PL NE, SUITE D
ALBUQUERQUE, NM 87102
Podiatrist (Foot & Ankle Surgery)
711 ENCINO PL NE, SUITE G
ALBUQUERQUE, NM 87102
Specialist
711 ENCINO PL NE
ALBUQUERQUE, NM 87102
Clinic/Center
711 ENCINO PL NE, SUITE D
ALBUQUERQUE, NM 87102
Clinic/Center (Primary Care)
711 ENCINO PL NE, SUITE D
ALBUQUERQUE, NM 87102
Psychologist
711 ENCINO PL NE, SUITE D
ALBUQUERQUE, NM 87102
Nurse Practitioner (Family)
711 ENCINO PL NE
ALBUQUERQUE, NM 87102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124179486, enumerated as an "individual" on January 15, 2007.

The provider is located at 711 ENCINO PL NE SUITE E ALBUQUERQUE, NM 87102 and the phone number is (505) 245-5737.

Urology with taxonomy code 208800000X.

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