DISTRICT MEDICAL GROUP, INC
NPI 1124667555
Clinic/Center in Peoria, AZ

NPI Status: Active since January 02, 2020

Contact Information

15182 N 75TH AVE STE 180
PEORIA, AZ
ZIP 85381
Phone: (623) 487-3334
Fax: (623) 487-3656

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  • Organization
  • Clinic/Center

About DISTRICT MEDICAL GROUP, INC

This page provides the complete NPI Profile along with additional information for District Medical Group, Inc, a provider established in Peoria, Arizona operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1124667555 assigned on January 2020. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. District Medical Group, Inc 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 Teresa Cordeiro (Director, Credentialing)

NPI
1124667555
Provider Name
DISTRICT MEDICAL GROUP, INC
Entity Type
Organization
Location Address
15182 N 75TH AVE STE 180 PEORIA, AZ 85381
Location Phone
(623) 487-3334
Location Fax
(623) 487-3656
Mailing Address
2929 E THOMAS RD PHOENIX, AZ 85016
Mailing Phone
(602) 470-5519
Mailing Fax
(623) 487-3656
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-02-2020
Last Update Date
02-19-2020
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2208600000XAllopathic & Osteopathic Physicians

Surgery

 

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:

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

TERESA CORDEIRO

Authorized Official Title
DIRECTOR, CREDENTIALING
Authorized Official Phone
(602) 470-5519

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
475747MEDICAID (05)AZ 

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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 1124667555, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
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 6 → 12 → 3 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 1 + 2 + 6 + 1 + 4 + 5 + 1 + 0 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1124667555.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
15182 N 75TH AVE STE 180
PEORIA, AZ 85381
Nurse Practitioner (Family)
15182 N 75TH AVE STE 180
PEORIA, AZ 85381
Nurse Practitioner (Family)
15182 N 75TH AVE STE 180
PEORIA, AZ 85381
Clinic/Center (Primary Care)
15182 N 75TH AVE STE 180
PEORIA, AZ 85381
Clinic/Center (Primary Care)
15182 N 75TH AVE STE 180
PEORIA, AZ 85381

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124667555, enumerated as an "organization" on January 02, 2020.

The provider is located at 15182 N 75TH AVE STE 180 PEORIA, AZ 85381 and the phone number is (623) 487-3334.

Clinic/Center with taxonomy code 261Q00000X.

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