HIGH DESERT VEIN CENTER
NPI 1255601613
Radiology - Diagnostic Radiology in Kingman, AZ

NPI Status: Active since January 03, 2012

Contact Information

3439 SOUTHERN VISTA DR
KINGMAN, AZ
ZIP 86401
Phone: (928) 718-0180
Fax: (928) 718-0181

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  • Organization
  • Radiology
  • Diagnostic Radiology

About HIGH DESERT VEIN CENTER

This page provides the complete NPI Profile along with additional information for High Desert Vein Center, a provider established in Kingman, Arizona operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1255601613 assigned on January 2012. The practitioner's primary taxonomy code is 2085R0202X with license number 42974 (AZ). The provider is registered as an organization and their NPI record was last updated 14 years ago. High Desert Vein Center 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 High Desert Vein Center. The authorized official of this NPI record is Kale D Bodily M.d. (President)

NPI
1255601613
Provider Legal Name
HIGH DESERT RADIOLOGY, P.C.
Other Organization Name
HIGH DESERT VEIN CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3439 SOUTHERN VISTA DR KINGMAN, AZ 86401
Location Phone
(928) 718-0180
Location Fax
(928) 718-0181
Mailing Address
P.O. BOX 4148 KINGMAN, AZ 86402
Mailing Phone
(928) 718-0180
Mailing Fax
(928) 718-0181
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2012
Last Update Date
03-02-2012
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
42974
License State
AZ
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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)
12085R0204XAllopathic & Osteopathic Physicians

Radiology
Vascular & Interventional Radiology

42974 (AZ)

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KALE D BODILY M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(928) 757-0620

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
674865MEDICAID (05)AZ 
1562979-4OTHER (01)AZCORPORATION FILE NUMBER

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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 1255601613, 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
3
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 5 → 10 → 1 6 → 12 → 3 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 1 + 2 + 0 + 2 + 6 + 2 + 24 = 47

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

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1255601613.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255601613, enumerated as an "organization" on January 03, 2012.

The provider is located at 3439 SOUTHERN VISTA DR KINGMAN, AZ 86401 and the phone number is (928) 718-0180.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.