EVOLVE WELLNESS AND RECOVERY
NPI 1154177012
Internal Medicine - Addiction Medicine in Plantation, FL

NPI Status: Active since April 30, 2024

Contact Information

4161 NW 5TH ST STE 201
PLANTATION, FL
ZIP 33317
Phone: (954) 859-6051
Fax: (954) 349-1716

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  • Organization
  • Internal Medicine
  • Addiction Medicine
  • CLIA Number: 10D2315316
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-10-2026

About EVOLVE WELLNESS AND RECOVERY

This page provides the complete NPI Profile along with additional information for Evolve Wellness And Recovery, an internist established in Plantation, Florida operating as a Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1154177012 assigned on April 2024. The practitioner's primary taxonomy code is 207RA0401X. The provider is registered as an organization and their NPI record was last updated one year ago. Evolve Wellness And Recovery 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. Steven M Suastegui Md (Medical Director)

NPI
1154177012
Provider Name
EVOLVE WELLNESS AND RECOVERY
Entity Type
Organization
Location Address
4161 NW 5TH ST STE 201 PLANTATION, FL 33317
Location Phone
(954) 859-6051
Location Fax
(954) 349-1716
Mailing Address
4161 NW 5TH ST STE 201 PLANTATION, FL 33317
Mailing Phone
(954) 859-6051
Mailing Fax
(954) 349-1716
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-30-2024
Last Update Date
02-14-2025
Code Navigator

An internist like Evolve Wellness And Recovery is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine Addiction Medicine

Taxonomy Code
207RA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

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.

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. STEVEN M SUASTEGUI MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(954) 483-8348

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2315316
Facility Type
Physician Office
Certificate Effective Date
December 11, 2024
Certificate Expiration Date
December 10, 2026
Laboratory Director
STEVEN SUASTEGUI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Evolve Wellness And Recovery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1154177012, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 2 + 7 + 1 + 4 + 0 + 2 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1154177012.

Other Providers at the Same Location


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

Clinic/Center
4161 NW 5TH ST STE 201
PLANTATION, FL 33317
Internal Medicine (Addiction Medicine)
4161 NW 5TH ST STE 201
PLANTATION, FL 33317
Nurse Practitioner (Family)
4161 NW 5TH ST STE 201
PLANTATION, FL 33317

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154177012, enumerated as an "organization" on April 30, 2024.

The provider is located at 4161 NW 5TH ST STE 201 PLANTATION, FL 33317 and the phone number is (954) 859-6051.

Internal Medicine with taxonomy code 207RA0401X and a focus in Addiction Medicine.