DR. NORMAN SVEILICH D.O. NPI 1164467619
Orthopaedic Surgery in Howard Beach, NY

Individual Male Orthopaedic Surgery PECOS Enrolled

About DR. NORMAN SVEILICH D.O.

Norman Sveilich is a provider established in Howard Beach, New York and his medical specialization is Orthopaedic Surgery. The NPI number of Norman Sveilich is 1164467619 and was assigned on June 2006. The practitioner's primary taxonomy code is 207X00000X with license number 1051879 (NY). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1164467619
Provider NameDR. NORMAN SVEILICH D.O.
Provider Location Address14930 88TH ST HOWARD BEACH, NY 11414
Provider Mailing Address14930 88TH ST HOWARD BEACH, NY 11414
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date06-18-2006
Last Update Date06-03-2008

Norman Sveilich 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..

Norman Sveilich is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code207X00000X
ClassificationOrthopaedic Surgery
TypeAllopathic & Osteopathic Physicians
License No.1051879
License StateNY
Taxonomy DescriptionAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Business Address

DR. NORMAN SVEILICH D.O.
14930 88TH ST
HOWARD BEACH, NY
ZIP 11414
Phone: (718) 835-6003

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Mailing Address

DR. NORMAN SVEILICH D.O.
14930 88TH ST
HOWARD BEACH, NY
ZIP 11414
Phone: (718) 835-6003


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 64Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • 55Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 40Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • 25X-ray of knee, 3 views (HCPCS:73562)
  • 17X-ray of shoulder, minimum of 2 views (HCPCS:73030)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DS652OTHER (01)NYOXFORD
1800572OTHER (01)NYCHUBB
4C4766OTHER (01)NYHEALTHNET
B16192MEDICARE UPIN (02)NY
40762GOTHER (01)NYMEDICARE GHI
18P0451OTHER (01)NYCOMMUNITY HEALTH PLAN
537761OTHER (01)NYMEDICARE EMPIRE
200018701OTHER (01)NYRAILROAD MEDICARE
05377610OTHER (01)NYBCBS
106562500OTHER (01)NYDEPARTMENT OF LABOR
0377167021OTHER (01)NYCIGNA
0040762OTHER (01)NYGHI
24203POTHER (01)NYHIP
5831040001MEDICARE NSC (07)NY
050733OTHER (01)NYGHI HMO
35088OTHER (01)NYVYTRA
5831040001OTHER (01)NYMEDICARE DME

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164467619
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124861462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 8 + 6 + 1 + 4 + 6 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1164467619 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174609507 ROBERT GLICKEN RPT
Individual
Physical Therapist (Orthopedic)14930 88TH ST
HOWARD BEACH, NY 11414
(718) 835-6003
1003012386DR. NORMAN SVEILICH
Organization
Orthopaedic Surgery14930 88TH ST
HOWARD BEACH, NY 11414
(718) 835-6003
1669807319NY-JFK ORTHOPAEDICS PC
Organization
Orthopaedic Surgery14930 88TH ST
HOWARD BEACH, NY 11414
(718) 835-6003
1669827689NJ-JFK ORTHOPAEDICS PC
Organization
Orthopaedic Surgery14930 88TH ST
HOWARD BEACH, NY 11414
(718) 835-6003
1376544239 ANTHONY CHIONIS DPM
Individual
Podiatrist14930 88TH ST STE 1
HOWARD BEACH, NY 11414
(718) 323-0079
1063153336DR. PAUL ILAN
Organization
Dentist14930 88TH ST
HOWARD BEACH, NY 11414
(718) 843-3222

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Norman Sveilich D.o. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.