JED G. NUCHTERN MD
NPI 1194805507
Surgery - Pediatric Surgery in Houston, TX

NPI Status: Active since October 17, 2006

Contact Information

6701 FANNIN ST
HOUSTON, TX
ZIP 77030
Phone: (832) 822-3135
Fax: (832) 825-3141

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  • Individual
  • Male
  • Years of Experience 41
  • Surgery
  • Pediatric Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JED NUCHTERN

This page provides the complete NPI Profile along with additional information for Jed Nuchtern, a provider established in Houston, Texas with a medical specialization in Surgery, focusing in pediatric surgery and more than 41 years of experience. He graduated from Harvard Medical School in 1985. The healthcare provider is registered in the NPI registry with number 1194805507 assigned on October 2006. The practitioner's primary taxonomy code is 2086S0120X with license number J8335 (TX). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1194805507
Provider Name
JED G. NUCHTERN MD
Gender
Male
Entity Type
Individual
Location Address
6701 FANNIN ST HOUSTON, TX 77030
Location Phone
(832) 822-3135
Location Fax
(832) 825-3141
Mailing Address
2 GREENWAY PLZ SUITE 900 HOUSTON, TX 77046
Mailing Phone
(713) 798-1750
Mailing Fax
(832) 825-3141
Medical School Name
HARVARD MEDICAL SCHOOL
Graduation Year
1985
Is Sole Proprietor?
No
Enumeration Date
10-17-2006
Last Update Date
03-01-2011
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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

Surgery Pediatric Surgery

Taxonomy Code
2086S0120X
Type
Allopathic & Osteopathic Physicians
License No.
J8335
License State
TX
Taxonomy Description
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Insurance Plans Accepted

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

  • Community Premier Bronze 003 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Select Bronze 016 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Select Silver 019 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8L1518MEDICARE PIN (08)TX 
84Y080MEDICARE PIN (08) 
81Z739MEDICARE PIN (08) 
138687202OTHER (01)TXCSHCN
138687214MEDICAID (05)TX 
138687203MEDICAID (05)TX 
TXB116991MEDICARE PIN (08)TX 
138687215OTHER (01)TXCSHCN
F33256MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Jed Nuchtern 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.

Jed Nuchtern 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: 9032287925

    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: I20081006000169

    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

Reviews for JED G. NUCHTERN MD

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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 1194805507, 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
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 9 → 18 → 9 8 → 16 → 7 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 1 + 6 + 0 + 1 + 0 + 5 + 0 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1194805507.

Other Providers at the Same Location


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

Otolaryngology (Pediatric Otolaryngology)
6701 FANNIN ST, STE 540
HOUSTON, TX 77030
Otolaryngology (Pediatric Otolaryngology)
6701 FANNIN ST, STE 540
HOUSTON, TX 77030
Otolaryngology (Pediatric Otolaryngology)
6701 FANNIN ST, SUITE 540
HOUSTON, TX 77030
Otolaryngology (Pediatric Otolaryngology)
6701 FANNIN ST
HOUSTON, TX 77030
Surgery (Pediatric Surgery)
6701 FANNIN ST, SUITE 1210
HOUSTON, TX 77030
Nurse Practitioner
6701 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Gastroenterology)
6701 FANNIN ST
HOUSTON, TX 77030
Pediatrics
6701 FANNIN ST
HOUSTON, TX 77030
Nurse Practitioner
6701 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Sports Medicine)
6701 FANNIN ST, 1710.00
HOUSTON, TX 77030
Nurse Practitioner
6701 FANNIN ST, MC-CCC-660
HOUSTON, TX 77030
Pediatrics
6701 FANNIN ST
HOUSTON, TX 77030
Pediatrics
6701 FANNIN ST, SUITE 1410
HOUSTON, TX 77030
Pediatrics
6701 FANNIN ST
HOUSTON, TX 77030
Psychologist (Counseling)
6701 FANNIN ST
HOUSTON, TX 77030
Nurse Practitioner
6701 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Allergy/Immunology)
6701 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Endocrinology)
6701 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Endocrinology)
6701 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Gastroenterology)
6701 FANNIN ST
HOUSTON, TX 77030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194805507, enumerated as an "individual" on October 17, 2006.

The provider is located at 6701 FANNIN ST HOUSTON, TX 77030 and the phone number is (832) 822-3135.

Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.

The provider might be accepting Accepts: Community Health Choice, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.