JAMES F PADBURY M.D.
NPI 1275516544
Pediatrics - Neonatal-Perinatal Medicine in Providence, RI
NPI Status: Active since November 21, 2005
Contact Information
101 DUDLEY ST
PROVIDENCE, RI
ZIP 02905
Phone: (401) 274-1122
Fax: (401) 453-7571
- Individual
- Male
- Pediatrics
- Neonatal-Perinatal Medicine
- PECOS Enrolled
About JAMES PADBURY
This page provides the complete NPI Profile along with additional information for James Padbury, a pediatrician established in Providence, Rhode Island with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1275516544 assigned on November 2005. The practitioner's primary taxonomy code is 2080N0001X with license number MD8966 (RI). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1275516544
- Provider Name
- JAMES F PADBURY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 101 DUDLEY ST PROVIDENCE, RI 02905
- Location Phone
- (401) 274-1122
- Location Fax
- (401) 453-7571
- Mailing Address
- 101 DUDLEY ST PROVIDENCE, RI 02905
- Mailing Phone
- (401) 274-1122
- Mailing Fax
- (401) 453-7571
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-21-2005
- Last Update Date
- 05-22-2008
- Code Navigator
A pediatrician like James Padbury is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD8966
- License State
- RI
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | MD8966 (RI) |
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.
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 |
|---|---|---|---|
| 007004905 | MEDICARE ID-TYPE UNSPECIFIED (04) | RI | |
| A91031 | MEDICARE UPIN (02) | ||
| 7004905 | MEDICAID (05) | RI | |
| 005295 | OTHER (01) | RI | BLUE CHIP OF RI |
| 6829 | OTHER (01) | RI | BLUE CROSS OF RI |
| 47-00014 | OTHER (01) | UHPNE,INC |
Medicare Participation & PECOS Enrollment Status
James Padbury 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 5 | 1 | 6 | 5 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 10 | 1 | 12 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 0 + 1 + 1 + 2 + 5 + 8 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1275516544 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DONALD R COUSTAN M.D.
Obstetrics & Gynecology
(Maternal & Fetal Medicine)
101 DUDLEY ST
PROVIDENCE, RI
ZIP 02905
KUE CHUNG CHOI MD
Anesthesiology
101 DUDLEY ST
WOMEN & INFANTS HOSPITAL
PROVIDENCE, RI
ZIP 02905
PETER GRAVALLESE
Anesthesiology
101 DUDLEY ST
WOMEN & INFANTS HOSPITAL
PROVIDENCE, RI
ZIP 02905
DHHANANJAY MEHTA MD
Anesthesiology
101 DUDLEY ST
WOMEN & INFANTS HOSPITAL
PROVIDENCE, RI
ZIP 02905
MEREDITH FISHER MD
Anesthesiology
101 DUDLEY ST
WOMEN & INFANTS HOSPITAL
PROVIDENCE, RI
ZIP 02905
JAVAD LAHIJANI MD
Anesthesiology
101 DUDLEY ST
WOMEN & INFANTS HOSPITAL
PROVIDENCE, RI
ZIP 02905
ROBERT COHEN DO
Anesthesiology
101 DUDLEY ST
WOMEN & INFANTS HOSPITAL
PROVIDENCE, RI
ZIP 02905
SHANNON SULLIVAN LCSW
Social Worker
(Clinical)
101 DUDLEY ST
PROVIDENCE, RI
ZIP 02905
WILLIAM CASHORE MD
Pediatrics
101 DUDLEY ST
PROVIDENCE, RI
ZIP 02905
DIANE E. HODGMAN
Advanced Practice Midwife
101 DUDLEY ST
PROVIDENCE, RI
ZIP 02905
CALIN DRIMBAREAN MD
Anesthesiology
101 DUDLEY ST
WOMEN & INFANTS HOSPITAL
PROVIDENCE, RI
ZIP 02905
MELISSA O'DONNELL LICSW
Social Worker
(Clinical)
101 DUDLEY ST
PROVIDENCE, RI
ZIP 02905
HEIDI FANION LCSW
Social Worker
(Clinical)
101 DUDLEY ST
PROVIDENCE, RI
ZIP 02905
ANESTHESIOLOGY INC
Anesthesiology
101 DUDLEY ST
C/O WOMEN & INFANTS HOSPITAL
PROVIDENCE, RI
ZIP 02905
FIONA KENNY RD
Dietitian, Registered
101 DUDLEY ST
PROVIDENCE, RI
ZIP 02905
GARY FRISHMAN MD
Obstetrics & Gynecology
(Reproductive Endocrinology)
101 DUDLEY ST
PROVIDENCE, RI
ZIP 02905
BETHANY DAWSON LICSW
Social Worker
(Clinical)
101 DUDLEY ST
PROVIDENCE, RI
ZIP 02905
JENNIFER ANZIVINO CSW
Social Worker
(Clinical)
101 DUDLEY ST
PROVIDENCE, RI
ZIP 02905
MARGARET HOWARD PHD
Psychologist
101 DUDLEY ST
PROVIDENCE, RI
ZIP 02905
CINDY KLIPFEL MD
Pediatrics
101 DUDLEY ST
PROVIDENCE, RI
ZIP 02905
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275516544, enumerated as an "individual" on November 21, 2005.
The provider is located at 101 DUDLEY ST PROVIDENCE, RI 02905 and the phone number is (401) 274-1122.
Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
