JOHN D NAIDA MD
NPI 1215979273
Radiology - Radiation Oncology in West Allis, WI

NPI Status: Active since June 12, 2006

Contact Information

8901 W LINCOLN AVE
WEST ALLIS, WI
ZIP 53227
Phone: (414) 328-6460

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  • Individual
  • Male
  • Radiology
  • Radiation Oncology
  • PECOS Enrolled

About JOHN NAIDA

This page provides the complete NPI Profile along with additional information for John Naida, a provider established in West Allis, Wisconsin with a medical specialization in Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1215979273 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0001X with license number 38870 (WI). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1215979273
Provider Name
JOHN D NAIDA MD
Gender
Male
Entity Type
Individual
Location Address
8901 W LINCOLN AVE WEST ALLIS, WI 53227
Location Phone
(414) 328-6460
Mailing Address
11516 N PORT WASHINGTON RD STE 107 MEQUON, WI 53092
Mailing Phone
(262) 241-5040
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
06-12-2006
Last Update Date
09-14-2023
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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

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
License No.
38870
License State
WI
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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.

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
32351900MEDICAID (05)WI 

Medicare Participation & PECOS Enrollment Status

John Naida 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: Durable Medical Equipment (DME) 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: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Calculation of radiation therapy dose

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

This service was performed 47 times for 16 patients

Complex radiation therapy planning

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

This service was performed 24 times for 24 patients

Ct guidance for insertion of radiation therapy fields

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

This service was performed 293 times for 36 patients

Design and construction of complex radiation treatment device

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

This service was performed 54 times for 22 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 11 times for 11 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 17 times for 17 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

This service was performed 23 times for 17 patients

Radiation treatment management, 5 treatment sessions

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

This service was performed 67 times for 29 patients

Physician Visit Costs

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 53227 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $163.24
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $40.81
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.37
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $16.84
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* 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.

Reviews for JOHN D NAIDA 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 1215979273, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
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 1 → 2 9 → 18 → 9 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 1 + 8 + 7 + 1 + 8 + 2 + 1 + 4 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1215979273.

Other Providers at the Same Location


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

Anesthesiology
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Anesthesiology
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Anesthesiology
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Radiology (Vascular & Interventional Radiology)
8901 W LINCOLN AVE, DEPT OF RADIOLOGY
WEST ALLIS, WI 53227
Radiology (Diagnostic Radiology)
8901 W LINCOLN AVE, RADIOLOGY
WEST ALLIS, WI 53227
Pathology (Anatomic Pathology & Clinical Pathology)
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Pathology (Anatomic Pathology & Clinical Pathology)
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Internal Medicine
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Pathology (Anatomic Pathology & Clinical Pathology)
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Dietitian, Registered
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Physical Medicine & Rehabilitation
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Counselor (Professional)
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Genetic Counselor, MS
8901 W LINCOLN AVE, SUITE 505
WEST ALLIS, WI 53227
Dietitian, Registered
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Anesthesiology
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Clinic/Center
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Dietitian, Registered
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Rehabilitation Unit
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Registered Nurse (Diabetes Educator)
8901 W LINCOLN AVE, DIABETES ED
WEST ALLIS, WI 53227
Family Medicine
8901 W LINCOLN AVE
WEST ALLIS, WI 53227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215979273, enumerated as an "individual" on June 12, 2006.

The provider is located at 8901 W LINCOLN AVE WEST ALLIS, WI 53227 and the phone number is (414) 328-6460.

Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.

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