DR. ROBERT A ISRAELY M.D.
NPI 1245454115
Specialist in Westport, CT

NPI Status: Active since April 12, 2007

Contact Information

26 IMPERIAL AVE
WESTPORT, CT
ZIP 06880
Phone: (203) 221-1001

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  • Individual
  • Male
  • Specialist
  • PECOS Enrolled
  • Opted-Out Medicare

About ROBERT ISRAELY

This page provides the complete NPI Profile along with additional information for Robert Israely, a provider established in Westport, Connecticut with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1245454115 assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number 18606 (CT). The provider is registered as an individual and his NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1245454115
Provider Name
DR. ROBERT A ISRAELY M.D.
Gender
Male
Entity Type
Individual
Location Address
26 IMPERIAL AVE WESTPORT, CT 06880
Location Phone
(203) 221-1001
Mailing Address
26 IMPERIAL AVE WESTPORT, CT 06880
Is Sole Proprietor?
Yes
Enumeration Date
04-12-2007
Last Update Date
10-13-2007
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Robert Israely opted out of Medicare effective on 07-30-2015 until 07-30-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
18606
License State
CT
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Medicare Participation & PECOS Enrollment Status

Robert Israely 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

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 07-30-2015

  • Opt-Out End Date: 07-30-2027

  • Eligible to Order and Refer? 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

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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 1245454115, 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.

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 8 + 5 + 8 + 1 + 2 + 24 = 65

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.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1245454115.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Psychologist
26 IMPERIAL AVE
WESTPORT, CT 06880
Psychologist (Clinical)
26 IMPERIAL AVE
WESTPORT, CT 06880
Social Worker (Clinical)
26 IMPERIAL AVE
WESTPORT, CT 06880

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245454115, enumerated as an "individual" on April 12, 2007.

The provider is located at 26 IMPERIAL AVE WESTPORT, CT 06880 and the phone number is (203) 221-1001.

Specialist with taxonomy code 174400000X.