LUIS PLASENCIA M.D.
NPI 1245695170
Preferred Provider Organization in Miami, FL
NPI Status: Active since December 18, 2015
Contact Information
8741 CORAL WAY
MIAMI, FL
ZIP 33165
Phone: (305) 226-7800
Fax: (305) 551-2953
- Organization
- Preferred Provider Organization
About LUIS PLASENCIA M.D.
This page provides the complete NPI Profile along with additional information for Luis Plasencia M.d., a provider established in Miami, Florida operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1245695170 assigned on December 2015. The practitioner's primary taxonomy code is 305R00000X with license number ME0045681 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Luis Plasencia M.d. (Physician/ Owner)
- NPI
- 1245695170
- Provider Name
- LUIS PLASENCIA M.D.
- Entity Type
- Organization
- Location Address
- 8741 CORAL WAY MIAMI, FL 33165
- Location Phone
- (305) 226-7800
- Location Fax
- (305) 551-2953
- Mailing Address
- 8741 CORAL WAY MIAMI, FL 33165
- Mailing Phone
- (305) 226-7800
- Mailing Fax
- (305) 551-2953
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-18-2015
- Last Update Date
- 12-18-2015
- 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
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- License No.
- ME0045681
- License State
- FL
- Taxonomy Description
- A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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 |
|---|---|---|---|
| 1265415939 | OTHER (01) | FL | NPI |
| 043526100 | MEDICAID (05) | FL | |
| 96990 | MEDICARE PIN (08) | FL |
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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 1245695170, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245695170, enumerated as an "organization" on December 18, 2015.
The provider is located at 8741 CORAL WAY MIAMI, FL 33165 and the phone number is (305) 226-7800.
Preferred Provider Organization with taxonomy code 305R00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
