DR. DANIELLE DIENERT SWEENEY MD
NPI 1245497387
Urology - Pediatric Urology in Austin, TX

NPI Status: Active since May 16, 2008

Contact Information

916 SPRINGDALE RD BLDG 5-102
AUSTIN, TX
ZIP 78702
Phone: (512) 461-6110

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  • Individual
  • Female
  • Urology
  • Pediatric Urology
  • Accepts Insurance
  • PECOS Enrolled

About DANIELLE SWEENEY

This page provides the complete NPI Profile along with additional information for Danielle Sweeney, a provider established in Austin, Texas with a medical specialization in Urology, focusing in pediatric urology . The healthcare provider is registered in the NPI registry with number 1245497387 assigned on May 2008. The practitioner's primary taxonomy code is 2088P0231X with license number N3337 (TX). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1245497387
Provider Name
DR. DANIELLE DIENERT SWEENEY MD
Other Name
DANIELLE N DIENERT
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
916 SPRINGDALE RD BLDG 5-102 AUSTIN, TX 78702
Location Phone
(512) 461-6110
Mailing Address
916 SPRINGDALE RD BLDG 5-102 AUSTIN, TX 78702
Mailing Phone
(512) 461-6110
Is Sole Proprietor?
No
Enumeration Date
05-16-2008
Last Update Date
05-28-2019
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Location Map

Secondary Locations

  • 1301 Barbara Jordan Blvd. Suite #302
    Austin, TX 78723
    (512) 472-6134
  • 1301 Barbara Jordan Blvd. Suite #302
    Austin, TX 78723
    (512) 472-6134

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

Urology Pediatric Urology

Taxonomy Code
2088P0231X
Type
Allopathic & Osteopathic Physicians
License No.
N3337
License State
TX
Taxonomy Description
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

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)
1208800000XAllopathic & Osteopathic Physicians

Urology

MD431431 (PA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BSW Diabetes Care Gold HMO 014 - HMO
  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Savers Bronze HMO H S A 009 - HMO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO
  • Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible - HMO
  • Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs - HMO
  • Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs - HMO
  • Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs - HMO
  • Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs - HMO
  • Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist - HMO
  • Sendero Health Real Gold / $350 Deductible - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Danielle Sweeney 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

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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 1245497387, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 7 → 14 → 5 8 → 16 → 7

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 + 9 + 1 + 4 + 3 + 1 + 6 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1245497387.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245497387, enumerated as an "individual" on May 16, 2008.

The provider is located at 916 SPRINGDALE RD BLDG 5-102 AUSTIN, TX 78702 and the phone number is (512) 461-6110.

Urology with taxonomy code 2088P0231X and a focus in Pediatric Urology.

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Moda Health. Please consult your insurance carrier or call the provider to verify.