KARTHICKRAJKUMAR KARIAMANICKAM
NPI 1164094397
Student in an Organized Health Care Education/Training Program in Bronx, NY

NPI Status: Active since July 16, 2021

Contact Information

1650 GRAND CONCOURSE
BRONX, NY
ZIP 10457
Phone: (718) 590-1800

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  • Individual
  • Male
  • Years of Experience 19
  • Student in an Organized Health Care Educ...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KARTHICKRAJKUMAR KARIAMANICKAM

This page provides the complete NPI Profile along with additional information for Karthickrajkumar Kariamanickam, a primary care provider established in Bronx, New York with a medical specialization in Student In An Organized Health Care Education/training Program and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1164094397 assigned on July 2021. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1164094397
Provider Name
KARTHICKRAJKUMAR KARIAMANICKAM
Gender
Male
Entity Type
Individual
Location Address
1650 GRAND CONCOURSE BRONX, NY 10457
Location Phone
(718) 590-1800
Mailing Address
1650 GRAND CONCOURSE BRONX, NY 10457
Mailing Phone
(718) 590-1800
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
07-16-2021
Last Update Date
07-11-2024
Code Navigator

A primary care provider (PCP) like Karthickrajkumar Kariamanickam sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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

48353 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Karthickrajkumar Kariamanickam is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Karthickrajkumar Kariamanickam 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

  • PECOS PAC ID: 7517403835

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240723003563

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Karthickrajkumar Kariamanickam is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIVERSITY MEDICAL CENTER602 INDIANA AVENUE
LUBBOCK, TX 79415
(806) 775-8200Acute Care Hospitals

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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 1164094397, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 6 → 12 → 3 0 → 0 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 0 + 9 + 8 + 3 + 1 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1164094397.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Advanced Practice Midwife
1650 GRAND CONCOURSE
BRONX, NY 10457
Pharmacist (Pharmacotherapy)
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine (Gastroenterology)
1650 GRAND CONCOURSE
BRONX, NY 10457
Obstetrics & Gynecology (Gynecology)
1650 GRAND CONCOURSE, DEPARTMENT OF OB/GYN, 5TH FLOOR
BRONX, NY 10457
Genetic Counselor, MS
1650 GRAND CONCOURSE
BRONX, NY 10457
Anesthesiology
1650 GRAND CONCOURSE, DEPT OF ANESTHESIA
BRONX, NY 10457
Radiology (Diagnostic Radiology)
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine (Pulmonary Disease)
1650 GRAND CONCOURSE, 1770 GRAND CONCOURSE #2G
BRONX, NY 10457
Emergency Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Surgery
1650 GRAND CONCOURSE
BRONX, NY 10457
Pediatrics
1650 GRAND CONCOURSE, 6 D
BRONX, NY 10457
Physician Assistant
1650 GRAND CONCOURSE, BRONX LEBANON HOSPITAL
BRONX, NY 10457
Internal Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine (Pulmonary Disease)
1650 GRAND CONCOURSE
BRONX, NY 10457
Nuclear Medicine (Nuclear Imaging & Therapy)
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Pathology (Anatomic Pathology & Clinical Pathology)
1650 GRAND CONCOURSE
BRONX, NY 10457
Physical Therapist
1650 GRAND CONCOURSE, 11TH FLOOR PHYSICAL THERAPY SUITE
BRONX, NY 10457
Physical Therapist
1650 GRAND CONCOURSE, BRONX LEBANON HOSPITAL CENTER
BRONX, NY 10457
Internal Medicine (Hematology & Oncology)
1650 GRAND CONCOURSE, MLK JR HEALTH CENTER ,4TH FLOOR
BRONX, NY 10457

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164094397, enumerated as an "individual" on July 16, 2021.

The provider is located at 1650 GRAND CONCOURSE BRONX, NY 10457 and the phone number is (718) 590-1800.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.

Karthickrajkumar Kariamanickam is affiliated with: UNIVERSITY MEDICAL CENTER.