DAVITA MEDICAL GROUP
NPI 1245494723
Radiologic Technologist in Albuquerque, NM
NPI Status: Active since July 15, 2008
Contact Information
5150 JOURNAL CENTER BLVD NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 232-1500
Fax: (505) 232-1584
- Organization
- Radiologic Technologist
About DAVITA MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Davita Medical Group, a provider established in Albuquerque, New Mexico operating as a Radiologic Technologist. The healthcare provider is registered in the NPI registry with number 1245494723 assigned on July 2008. The practitioner's primary taxonomy code is 247100000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Davita Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Davita Medical Group. The authorized official of this NPI record is John G Liethen (Secretary)
- NPI
- 1245494723
- Provider Legal Name
- OPTUMCARE NEW MEXICO, LLC
- Other Organization Name
- DAVITA MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5150 JOURNAL CENTER BLVD NE ALBUQUERQUE, NM 87109
- Location Phone
- (505) 232-1500
- Location Fax
- (505) 232-1584
- Mailing Address
- PO BOX 26028 ALBUQUERQUE, NM 87125
- Mailing Phone
- (505) 232-1500
- Mailing Fax
- (505) 232-1584
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-15-2008
- Last Update Date
- 08-20-2019
- 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
Radiologic Technologist
- Taxonomy Code
- 247100000X
- Type
- Technologists, Technicians & Other Technical Service Providers
- Taxonomy Description
- A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2471B0102X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | |
| 2 | 2471C3401X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | |
| 3 | 2471C3402X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | |
| 4 | 2471M1202X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | |
| 5 | 2471M2300X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | |
| 6 | 2471S1302X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | |
| 7 | 2471V0105X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | |
| 8 | 2471V0106X | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist |
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.
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 |
|---|---|---|---|
| 93670567 | MEDICAID (05) | NM |
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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 1245494723, 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 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.
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 77 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245494723, enumerated as an "organization" on July 15, 2008.
The provider is located at 5150 JOURNAL CENTER BLVD NE ALBUQUERQUE, NM 87109 and the phone number is (505) 232-1500.
Radiologic Technologist with taxonomy code 247100000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
