MERITUS SPORTS MEDICINE
NPI 1184481459
Internal Medicine - Sports Medicine in Hagerstown, MD

NPI Status: Active since March 04, 2024

Contact Information

17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 790-9237

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  • Organization
  • Internal Medicine
  • Sports Medicine
  • CLIA Number: 21D2307114
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-01-2026

About MERITUS SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Meritus Sports Medicine, an internist established in Hagerstown, Maryland operating as a Internal Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1184481459 assigned on March 2024. The practitioner's primary taxonomy code is 207RS0010X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Meritus Sports Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Meritus Sports Medicine. The authorized official of this NPI record is Joshua Repac (Cfo)

NPI
1184481459
Provider Legal Name
MEDICAL PRACTICES OF ANTIETAM LLC
Other Organization Name
MERITUS SPORTS MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
17301 VALLEY MALL RD STE 125 HAGERSTOWN, MD 21740
Location Phone
(301) 790-9237
Mailing Address
11116 MEDICAL CAMPUS RD HAGERSTOWN, MD 21742
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2024
Last Update Date
03-05-2024
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An internist like Meritus Sports Medicine 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

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 Sports Medicine

Taxonomy Code
207RS0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

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.

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

JOSHUA REPAC

Authorized Official Title
CFO
Authorized Official Phone
(301) 790-9351

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
21D2307114
Facility Type
Physician Office
Certificate Effective Date
July 02, 2024
Certificate Expiration Date
July 01, 2026
Laboratory Director
DR. GEOFFREY N. SANYI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Meritus Sports Medicine 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 1184481459, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
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 8 → 16 → 7 4 → 8 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 6 + 4 + 8 + 8 + 2 + 4 + 1 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1184481459.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Clinic/Center (Rehabilitation)
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Clinic/Center (Urgent Care)
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Clinic/Center
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Clinic/Center
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Emergency Medicine (Sports Medicine)
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Family Medicine
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Physician Assistant
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740
Physical Therapist
17301 VALLEY MALL RD STE 125
HAGERSTOWN, MD 21740

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184481459, enumerated as an "organization" on March 04, 2024.

The provider is located at 17301 VALLEY MALL RD STE 125 HAGERSTOWN, MD 21740 and the phone number is (301) 790-9237.

Internal Medicine with taxonomy code 207RS0010X and a focus in Sports Medicine.