DEER PARK PHYSICIAN GROUP PLLC
NPI 1235795535
Emergency Medicine in Deer Park, TX
NPI Status: Active since May 13, 2019
Contact Information
1101 EAST BLVD
DEER PARK, TX
ZIP 77536
Phone: (346) 954-6007
- Organization
- Emergency Medicine
- CLIA Number: 45D0496686
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 12-22-2025
About DEER PARK PHYSICIAN GROUP PLLC
This page provides the complete NPI Profile along with additional information for Deer Park Physician Group Pllc, a provider established in Deer Park, Texas operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1235795535 assigned on May 2019. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Deer Park Physician Group Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Radheshyam Miryala Md (Owner)
- NPI
- 1235795535
- Provider Name
- DEER PARK PHYSICIAN GROUP PLLC
- Entity Type
- Organization
- Location Address
- 1101 EAST BLVD DEER PARK, TX 77536
- Location Phone
- (346) 954-6007
- Mailing Address
- PO BOX 520 SPRING, TX 77383
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-13-2019
- Last Update Date
- 06-11-2019
- Code Navigator
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0496686
- Facility Type
- Practitioner Other
- Certificate Effective Date
- December 23, 2023
- Certificate Expiration Date
- December 22, 2025
- Laboratory Director
- DONALD R. METZ
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Deer Park Physician Group Pllc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1235795535, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235795535, enumerated as an "organization" on May 13, 2019.
The provider is located at 1101 EAST BLVD DEER PARK, TX 77536 and the phone number is (346) 954-6007.
Emergency Medicine with taxonomy code 207P00000X.
