GREGORY M DOWBAK MD PA
NPI 1215151451
Exclusive Provider Organization in Bonita Springs, FL

NPI Status: Active since April 12, 2007

Contact Information

27399 RIVERVIEW CENTER BLVD
101
BONITA SPRINGS, FL
ZIP 34134
Phone: (239) 498-4910

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About GREGORY M DOWBAK MD PA

This page provides the complete NPI Profile along with additional information for Gregory M Dowbak Md Pa, a provider established in Bonita Springs, Florida operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1215151451 assigned on April 2007. The practitioner's primary taxonomy code is 302F00000X with license number 43416 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Gregory M Dowbak M.d. (Medical Doctor)

NPI
1215151451
Provider Name
GREGORY M DOWBAK MD PA
Entity Type
Organization
Location Address
27399 RIVERVIEW CENTER BLVD 101 BONITA SPRINGS, FL 34134
Location Phone
(239) 498-4910
Mailing Address
285 GRANDE WAY NAPLES, FL 34110
Mailing Phone
(239) 218-3428
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-12-2007
Last Update Date
08-22-2020
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License No.
43416
License State
FL
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Insurance Plans Accepted

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

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.

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

DR. GREGORY M DOWBAK M.D.

Authorized Official Title
MEDICAL DOCTOR
Authorized Official Phone
(239) 498-4910

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
ME0075104OTHER (01)FLMEDICAL LICENSE

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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.
1215151451
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225252410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 2 + 5 + 2 + 4 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1215151451 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215151451, enumerated as an "organization" on April 12, 2007.

The provider is located at 27399 RIVERVIEW CENTER BLVD 101 BONITA SPRINGS, FL 34134 and the phone number is (239) 498-4910.

Exclusive Provider Organization with taxonomy code 302F00000X.

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