KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE
NPI 1154810224
Pediatrics - Adolescent Medicine in Talladega, AL

NPI Status: Active since May 04, 2018

Contact Information

119 STEPHEN J WHITE MEMORIAL BLVD
TALLADEGA, AL
ZIP 35160
Phone: (256) 268-7775

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  • Organization
  • Pediatrics
  • Adolescent Medicine
  • CLIA Number: 01D2148957
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 06-11-2027

About KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE

This page provides the complete NPI Profile along with additional information for Kids Clinic Pediatric And Adolescent Medicine, a pediatrician established in Talladega, Alabama operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1154810224 assigned on May 2018. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Muhammed Khurram Siddiqui Md (Owner)

NPI
1154810224
Provider Name
KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE
Entity Type
Organization
Location Address
119 STEPHEN J WHITE MEMORIAL BLVD TALLADEGA, AL 35160
Location Phone
(256) 268-7775
Mailing Address
119 STEPHEN J WHITE MEMORIAL BLVD TALLADEGA, AL 35160
Mailing Phone
(256) 268-7775
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2018
Last Update Date
09-26-2023
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A pediatrician like Kids Clinic Pediatric And Adolescent Medicine 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 Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

DR. MUHAMMED KHURRAM SIDDIQUI MD

Authorized Official Title
OWNER
Authorized Official Phone
(256) 268-7775

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
000032739MEDICAID (05)AL 
G50661OTHER (01)UPIN

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
01D2148957
Facility Type
Rural Health Clinic
Certificate Effective Date
June 12, 2025
Certificate Expiration Date
June 11, 2027
Laboratory Director
MUHAMMED K. SIDDIQUI
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Kids Clinic Pediatric And Adolescent Medicine after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1154810224, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
4
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 8 → 16 → 7 0 → 0 2 → 4

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 + 1 + 6 + 1 + 0 + 2 + 4 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1154810224.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pediatrics
119 STEPHEN J WHITE MEMORIAL BLVD
TALLADEGA, AL 35160
Health Maintenance Organization
119 STEPHEN J WHITE MEMORIAL BLVD
TALLADEGA, AL 35160

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154810224, enumerated as an "organization" on May 04, 2018.

The provider is located at 119 STEPHEN J WHITE MEMORIAL BLVD TALLADEGA, AL 35160 and the phone number is (256) 268-7775.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

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