LIONEL EDWARD TAPIA MD
NPI 1154432052
Pediatrics in Billings, MT
NPI Status: Active since August 31, 2006
Contact Information
1232 NORTH 30TH STREET
SUITE 200
BILLINGS, MT
ZIP 59101
Phone: (406) 238-6600
Fax: (406) 238-6645
- Individual
- Male
- Pediatrics
- Accepts Insurance
About LIONEL TAPIA
This page provides the complete NPI Profile along with additional information for Lionel Tapia, a pediatrician established in Billings, Montana with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1154432052 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X with license number 7305 (MT). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1154432052
- Provider Name
- LIONEL EDWARD TAPIA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1232 NORTH 30TH STREET SUITE 200 BILLINGS, MT 59101
- Location Phone
- (406) 238-6600
- Location Fax
- (406) 238-6645
- Mailing Address
- 1232 NORTH 30TH STREET SUITE 200 BILLINGS, MT 59101
- Mailing Phone
- (406) 238-6600
- Mailing Fax
- (406) 238-6645
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-31-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A pediatrician like Lionel Tapia is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 7305
- License State
- MT
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Core Standard Gold - EPO
- Core Standard Silver - EPO
- PacificSource Oregon Standard Bronze HSA Plan Core - EPO
- PacificSource Oregon Standard Gold Plan Core - EPO
- PacificSource Oregon Standard Silver Plan Core - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
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 |
|---|---|---|---|
| 0043355 | MEDICAID (05) | MT | |
| 83205 | MEDICARE UPIN (02) |
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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 1154432052, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
BILLINGS, MT 59101
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154432052, enumerated as an "individual" on August 31, 2006.
The provider is located at 1232 NORTH 30TH STREET SUITE 200 BILLINGS, MT 59101 and the phone number is (406) 238-6600.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: PacificSource Health Plans, Providence Health. Please consult your insurance carrier or call the provider to verify.
