SUE E POYNTER M.D.
NPI 1205888906
Pediatrics - Pediatric Critical Care Medicine in Cincinnati, OH

NPI Status: Active since May 17, 2006

Contact Information

3333 BURNET AVE
ML 2005
CINCINNATI, OH
ZIP 45229
Phone: (513) 636-4259
Fax: (513) 636-4267

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Pediatrics
Pediatric Critical Care Medicine
Accepts Insurance
PECOS Enrolled

About SUE POYNTER

This page provides the complete NPI Profile along with additional information for Sue Poynter, a pediatrician established in Cincinnati, Ohio with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1205888906 assigned on May 2006. The practitioner's primary taxonomy code is 2080P0203X with license number 35.075357 (OH). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI: 1205888906
Provider Name: SUE E POYNTER M.D.
Gender: Female
Entity Type: Individual
Location Address: 3333 BURNET AVE ML 2005 CINCINNATI, OH 45229
Location Phone: (513) 636-4259
Location Fax: (513) 636-4267
Mailing Address: 3333 BURNET AVE ML 5021 CINCINNATI, OH 45229
Mailing Phone: (513) 636-4225
Mailing Fax: (513) 636-4267
Is Sole Proprietor?: Yes
Enumeration Date: 05-17-2006
Last Update Date: 07-08-2007
Code Navigator

A pediatrician like Sue Poynter is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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: Pediatrics Pediatric Critical Care Medicine
Taxonomy Code: 2080P0203X
Type: Allopathic & Osteopathic Physicians
License No.: 35.075357
License State: OH
Taxonomy Description: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Insurance Plans Accepted

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

CareSource

Bronze First 7500 $25 Generic Drugs - HMO
Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
Core Gold 1500 $10 Generic Drugs - HMO
Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Gold 1500 $15 Generic Drugs - HMO
Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
HDHP Preventive Silver 5500 $0 Select Drugs - HMO
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Low Premium Silver 6000 $3 Generic Drugs - HMO
Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
Silver 5000 $20 Generic Drugs - HMO
Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO

MedMutual

Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
Bronze HSA $7,300 ON-EX - HMO
Bronze Standard w/ Virtual & Wellness - HMO
Gold $1250 w/ Virtual & Wellness ON-EX - HMO
Gold $500 w/ Virtual & Wellness ON-EX - HMO
Gold Standard w/ Virtual & Wellness - HMO
Silver $5000 w/ Virtual & Wellness ON-EX - HMO
Silver Standard w/ Virtual & Wellness - HMO
SilverSelect w/ Virtual & Wellness ON-EX - HMO
Young Adult Essentials ON-EX - HMO

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

Medicare Participation & PECOS Enrollment Status

Sue Poynter 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
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

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	2	0	5	8	8	8	9	0	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	0	5	16	8	16	9	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 6 + 8 + 1 + 6 + 9 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6									6

The NPI number 1205888906 is valid because the calculated check digit 6 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.

MELISSA BRYANT RN

Nurse Anesthetist, Certified Registered

3333 BURNET AVE
CINCINNATI, OH
ZIP 45229

About SUE POYNTER

Location Map

Specialty - Primary Taxonomy

Pediatrics Pediatric Critical Care Medicine

Insurance Plans Accepted

CareSource

MedMutual

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

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 SUE E POYNTER M.D.

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Sue Poynter's NPI number?

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What is the provider's specialty?

What insurance does Sue Poynter accept?