PAOLA MICHELLE CALLE SARMIENTO MD
NPI 1184298002
Internal Medicine in Hartford, CT
NPI Status: Active since May 15, 2021
Contact Information
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
Phone: (860) 972-0200
Fax: (860) 545-4301
- Individual
- Female
- Years of Experience 13
- Internal Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
About PAOLA MICHELLE CALLE SARMIENTO
This page provides the complete NPI Profile along with additional information for Paola Michelle Calle Sarmiento, an internist established in Hartford, Connecticut with a medical specialization in Internal Medicine and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1184298002 assigned on May 2021. The practitioner's primary taxonomy code is 207R00000X with license number 079038 (CT). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1184298002
- Provider Name
- PAOLA MICHELLE CALLE SARMIENTO MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 132 JEFFERSON STREET HARTFORD, CT 06106
- Location Phone
- (860) 972-0200
- Location Fax
- (860) 545-4301
- Mailing Address
- 80 SEYMOUR ST HARTFORD, CT 06102
- Mailing Phone
- (860) 972-2085
- Medical School Name
- OTHER
- Graduation Year
- 2013
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-15-2021
- Last Update Date
- 08-14-2024
- Code Navigator
An internist like Paola Michelle Calle Sarmiento is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 80 Seymour St
Hartford, CT 06102
(860) 972-2085
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 079038
- License State
- CT
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare Participation & PECOS Enrollment Status
Paola Michelle Calle Sarmiento 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.
Paola Michelle Calle Sarmiento 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: 5890233225
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: I20240816002006
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
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.71 for a new patient copayment and $26.67 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 06106 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $138.84
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $34.71
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $106.68
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $26.67
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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. | |||||||||
| 1 | 1 | 8 | 4 | 2 | 9 | 8 | 0 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 4 | 9 | 16 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 4 + 9 + 1 + 6 + 0 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1184298002 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. SUMARAH CURRY MD
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
PAOLA MOROCHO MD
Student in an Organized Health Care Education/Training Program
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ADULT PRIMARY CARE HARTFORD HOSPITAL
HARTFORD, CT
ZIP 06106
CHARBEL F MATAR MD
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
JAN ZEMAN MD
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD HOSPITAL, ADULT PRIMARY CARE
HARTFORD, CT
ZIP 06106
RUCHIR DAMJIBHAI PALADIYA
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
KAYLYN KIRK DO
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
DR. LARA MELO SOARES PINHO DE CARVALHO MD
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
TANYA SHARMA JAIN M.B.B.S.
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
DR. MARIELA JOSE MORALES JIMENEZ M.D.
Internal Medicine
132 JEFFERSON STREET
HARTFORD HOSPITAL MEDICINE DEPT
HARTFORD, CT
ZIP 06106
ALOK VAKIL MD
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
MARIAN SANTANDREU MIRABAL PSYD
Psychologist
(Clinical)
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
ZIDAN MOHAMMAD ZIDAN SALEH
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
ANISHA GONDI VASIREDDI MD
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
DR. ARYAN MEHTA M.B.B.S.
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
DR. JOHNNY ATALLAH MD
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
MONIKA KOZYRA MD
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
DANZHU ZHAO DO
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
DR. ASHWIN KUMAR M.B.B.S
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
ALAN ALFREDO LANURIAS DIAZ MD
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
RACHAEL HAGEN DO
Student in an Organized Health Care Education/Training Program
132 JEFFERSON STREET
HARTFORD, CT
ZIP 06106
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184298002, enumerated as an "individual" on May 15, 2021.
The provider is located at 132 JEFFERSON STREET HARTFORD, CT 06106 and the phone number is (860) 972-0200.
Internal Medicine with taxonomy code 207R00000X.
