MEDIPLANS MANAGEMENT INC
NPI 1255647731
Exclusive Provider Organization in Miami, FL
NPI Status: Active since August 23, 2010
Contact Information
7805 CORAL WAY
SUITE 103
MIAMI, FL
ZIP 33155
Phone: (305) 398-0807
Fax: (305) 269-8825
- Organization
- Exclusive Provider Organization
About MEDIPLANS MANAGEMENT INC
This page provides the complete NPI Profile along with additional information for Mediplans Management Inc, a provider established in Miami, Florida operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1255647731 assigned on August 2010. The practitioner's primary taxonomy code is 302F00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Sandra M Palacio (Administration)
- NPI
- 1255647731
- Provider Name
- MEDIPLANS MANAGEMENT INC
- Entity Type
- Organization
- Location Address
- 7805 CORAL WAY SUITE 103 MIAMI, FL 33155
- Location Phone
- (305) 398-0807
- Location Fax
- (305) 269-8825
- Mailing Address
- 7805 CORAL WAY SUITE 103 MIAMI, FL 33155
- Mailing Phone
- (305) 398-0807
- Mailing Fax
- (305) 269-8825
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-23-2010
- Last Update Date
- 08-23-2010
- 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
Exclusive Provider Organization
- Taxonomy Code
- 302F00000X
- Type
- Managed Care Organizations
- Taxonomy Description
- (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
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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 1255647731, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
MIAMI, FL 33155
MIAMI, FL 33155
MIAMI, FL 33155
MIAMI, FL 33155
MIAMI, FL 33155
MIAMI, FL 33155
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255647731, enumerated as an "organization" on August 23, 2010.
The provider is located at 7805 CORAL WAY SUITE 103 MIAMI, FL 33155 and the phone number is (305) 398-0807.
Exclusive Provider Organization with taxonomy code 302F00000X.
