MRS. ISABELLA ANDREA VALLENILLA GALLARDO M.D.
NPI 1235753468
Pediatrics in Conway, SC
NPI Status: Active since June 03, 2020
Contact Information
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
Phone: (843) 347-7111
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About ISABELLA VALLENILLA GALLARDO
This page provides the complete NPI Profile along with additional information for Isabella Vallenilla Gallardo, a pediatrician established in Conway, South Carolina with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1235753468 assigned on June 2020. The practitioner's primary taxonomy code is 208000000X with license number 89654 (SC). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1235753468
- Provider Name
- MRS. ISABELLA ANDREA VALLENILLA GALLARDO M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 300 SINGLETON RIDGE RD CONWAY, SC 29526
- Location Phone
- (843) 347-7111
- Mailing Address
- 300 SINGLETON RIDGE RD ATTENTION PATIENT ACCOUNTING CONWAY, SC 29526
- Mailing Phone
- (843) 234-6946
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-03-2020
- Last Update Date
- 08-15-2023
- Code Navigator
A pediatrician like Isabella Vallenilla Gallardo 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
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 89654
- License State
- SC
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- BlueEssentials Catastrophic 1 - EPO
- BlueEssentials Gold 1 - EPO
- BlueEssentials Gold 5 - EPO
- BlueEssentials Silver 14 - EPO
- BlueEssentials Silver 14 + Adult Vision - EPO
- BlueEssentials Silver 39 - EPO
- BlueEssentials Standard Expanded Bronze - EPO
- BlueEssentials Standard Gold - EPO
- BlueEssentials Standard Silver - EPO
- BlueExtend PPO HD Bronze 1 - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Isabella Vallenilla Gallardo 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
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 29526 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.18
- Minimum New Patient Price $53.57
- Maximum New Patient Price $163.84
- Average New Patient Copayment $20.79
- Minimum New Patient Copayment $13.39
- Maximum New Patient Copayment $40.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.12
- Minimum Established Patient Price $16.96
- Maximum Established Patient Price $133.52
- Average Established Patient Copayment $23.78
- Minimum Established Patient Copayment $4.24
- Maximum Established Patient Copayment $33.38
* 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 MRS. ISABELLA ANDREA VALLENILLA GALLARDO M.D.
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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. | |||||||||
| 1 | 2 | 3 | 5 | 7 | 5 | 3 | 4 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 14 | 5 | 6 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 4 + 5 + 6 + 4 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1235753468 is valid because the calculated check digit 8 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.
MS. KATHLEEN M CHANCE CRNA
Nurse Anesthetist, Certified Registered
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
GREGORY D HENDERSON CRNA
Nurse Anesthetist, Certified Registered
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
PATRICIA D STORTZ CRNA
Nurse Anesthetist, Certified Registered
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
DR. ROBERT J GAY M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
DR. DAVID MARK WILSON M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
NOEL C HASKINS MD
Radiology
(Diagnostic Radiology)
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
DR. RICHARD Y HAYES M.D.
Internal Medicine
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
DR. MARTIN A DUCLOS M.D.
Internal Medicine
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
MRS. ELIZABETH MAZURKIEWICZ LISW-AP
Social Worker
(Clinical)
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
DR. NATHAN P FREDRICK DO
Emergency Medicine
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
DR. MARK S JEANJAQUET MD
Emergency Medicine
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
DR. ALLEN E SMOLENSKI MD
Emergency Medicine
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
AMANDA S BATTISTI DO
Emergency Medicine
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
DR. JOHN ALLEN ROGOWSKI MD
Emergency Medicine
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
MS. DONYA T BAKER CRNA
Nurse Anesthetist, Certified Registered
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
KIMBERLY D LHUILLIER CRNA
Nurse Anesthetist, Certified Registered
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
DUANE SWEET CRNA
Nurse Anesthetist, Certified Registered
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
SHIRLEY PAGE NEVILLE CRNA
Nurse Anesthetist, Certified Registered
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
CLAUDIA R ROGERS
Nurse Anesthetist, Certified Registered
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
MARY M TAYLOR CRNA
Nurse Anesthetist, Certified Registered
300 SINGLETON RIDGE RD
CONWAY, SC
ZIP 29526
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235753468, enumerated as an "individual" on June 03, 2020.
The provider is located at 300 SINGLETON RIDGE RD CONWAY, SC 29526 and the phone number is (843) 347-7111.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina and Molina. Please consult your insurance carrier or call the provider to verify.
