PROF. BIJAN ETEMAD M.D.
NPI 1124253067
Psychiatry & Neurology - Geriatric Psychiatry in Villanova, PA

NPI Status: Active since May 21, 2009

Contact Information

15 WISTAR RD
VILLANOVA, PA
ZIP 19085
Phone: (215) 898-4301
Fax: (215) 898-0509

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Geriatric Psychiatry
  • PECOS Enrolled
  • Opted-Out Medicare

About BIJAN ETEMAD

This page provides the complete NPI Profile along with additional information for Bijan Etemad, a provider established in Villanova, Pennsylvania with a medical specialization in Psychiatry & Neurology, focusing in geriatric psychiatry . The healthcare provider is registered in the NPI registry with number 1124253067 assigned on May 2009. The practitioner's primary taxonomy code is 2084P0805X with license number MD32639L (PA). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1124253067
Provider Name
PROF. BIJAN ETEMAD M.D.
Gender
Male
Entity Type
Individual
Location Address
15 WISTAR RD VILLANOVA, PA 19085
Location Phone
(215) 898-4301
Location Fax
(215) 898-0509
Mailing Address
15 WISTAR RD VILLANOVA, PA 19085
Mailing Phone
(215) 898-4301
Mailing Fax
(215) 898-0509
Is Sole Proprietor?
Yes
Enumeration Date
05-21-2009
Last Update Date
05-21-2009
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Bijan Etemad opted out of Medicare effective on 01-21-2020 until 01-21-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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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

Psychiatry & Neurology Geriatric Psychiatry

Taxonomy Code
2084P0805X
Type
Allopathic & Osteopathic Physicians
License No.
MD32639L
License State
PA
Taxonomy Description
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.

Medicare Participation & PECOS Enrollment Status

Bijan Etemad 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

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-21-2020

  • Opt-Out End Date: 01-21-2026

  • Eligible to Order and Refer? 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 19085 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $180.99
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $45.24
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.21
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $26.3
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* 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.

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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 1124253067, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 4 + 5 + 6 + 0 + 1 + 2 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1124253067.

Other Providers at the Same Location


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

Pediatrics
15 WISTAR RD
VILLANOVA, PA 19085

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124253067, enumerated as an "individual" on May 21, 2009.

The provider is located at 15 WISTAR RD VILLANOVA, PA 19085 and the phone number is (215) 898-4301.

Psychiatry & Neurology with taxonomy code 2084P0805X and a focus in Geriatric Psychiatry.