SUMMIT MEDICAL GROUP, INC
NPI 1164995544
Urology in Newport, KY
NPI Status: Active since January 08, 2019
Contact Information
1400 GRAND AVENUE
NEWPORT, KY
ZIP 41071
Phone: (859) 212-0497
Fax: (859) 441-1575
- Organization
- Urology
- CLIA Number: 18D0324119
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 09-05-2027
About SUMMIT MEDICAL GROUP, INC
This page provides the complete NPI Profile along with additional information for Summit Medical Group, Inc, a provider established in Newport, Kentucky operating as a Urology. The healthcare provider is registered in the NPI registry with number 1164995544 assigned on January 2019. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated one year ago. Summit Medical Group, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1164995544
- Provider Legal Name
- SUMMIT MEDICAL GROUP, INC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1400 GRAND AVENUE NEWPORT, KY 41071
- Location Phone
- (859) 212-0497
- Location Fax
- (859) 441-1575
- Mailing Address
- 1360 DOLWICK DRIVE ERIANGER, KY 41018
- Mailing Phone
- (859) 344-5555
- Mailing Fax
- (859) 441-1575
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-08-2019
- Last Update Date
- 03-24-2025
- Code Navigator
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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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) |
|---|---|---|---|---|
| 1 | 207VF0040X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 2 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
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
- 18D0324119
- Facility Type
- Practitioner Other
- Certificate Effective Date
- September 06, 2025
- Certificate Expiration Date
- September 05, 2027
- Laboratory Director
- DR. NIVA KHAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Summit Medical Group, Inc 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 1164995544, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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.
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 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
NEWPORT, KY 41071
NEWPORT, KY 41071
NEWPORT, KY 41071
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164995544, enumerated as an "organization" on January 08, 2019.
The provider is located at 1400 GRAND AVENUE NEWPORT, KY 41071 and the phone number is (859) 212-0497.
Urology with taxonomy code 208800000X.
