INDIANA SPINE AND PAIN CENTER INC
NPI 1265644397
Clinic/Center - Medical Specialty in Indianapolis, IN

NPI Status: Active since May 03, 2007

Contact Information

8202 CLEARVISTA PARKWAY
SUITE 9 E
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 577-1800
Fax: (317) 577-1805

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • Accepts Insurance

About INDIANA SPINE AND PAIN CENTER INC

This page provides the complete NPI Profile along with additional information for Indiana Spine And Pain Center Inc, a provider established in Indianapolis, Indiana operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1265644397 assigned on May 2007. The practitioner's primary taxonomy code is 261QM2500X with license number 01040487A (IN). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's former legal business name is Indiana Laser Spine Center Inc. The authorized official of this NPI record is Dr. Phillip R. Kingma M.d. (Owner/physician)

NPI
1265644397
Provider Legal Name
INDIANA SPINE AND PAIN CENTER INC
Other Organization Name
INDIANA LASER SPINE CENTER INC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
8202 CLEARVISTA PARKWAY SUITE 9 E INDIANAPOLIS, IN 46256
Location Phone
(317) 577-1800
Location Fax
(317) 577-1805
Mailing Address
8202 CLEARVISTA PARKWAY SUITE 9 E INDIANAPOLIS, IN 46256
Mailing Phone
(317) 577-1800
Mailing Fax
(317) 577-1805
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2007
Last Update Date
02-08-2013
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
01040487A
License State
IN
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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)
1261QM2500XAmbulatory Health Care Facilities

Clinic/Center
Medical Specialty

01040487 (IN)

Insurance Plans Accepted

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

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

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

DR. PHILLIP R. KINGMA M.D.

Authorized Official Title
OWNER/PHYSICIAN
Authorized Official Phone
(317) 577-1800

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
E87841MEDICARE UPIN (02)IN 

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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 1265644397, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 6 → 12 → 3 6 → 12 → 3 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 1 + 2 + 4 + 8 + 3 + 1 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1265644397.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Speech-Language Pathologist
8202 CLEARVISTA PARKWAY, SUITE 8F
INDIANAPOLIS, IN 46256
Behavior Analyst
8202 CLEARVISTA PARKWAY, SUITE 8F
INDIANAPOLIS, IN 46256
Internal Medicine (Rheumatology)
8202 CLEARVISTA PARKWAY, SUITE 8
INDIANAPOLIS, IN 46256

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265644397, enumerated as an "organization" on May 03, 2007.

The provider is located at 8202 CLEARVISTA PARKWAY SUITE 9 E INDIANAPOLIS, IN 46256 and the phone number is (317) 577-1800.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

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