PELE BOUTROUS DINA M.D
NPI 1275898116
Pediatrics - Neonatal-Perinatal Medicine in Springfield, IL

NPI Status: Active since July 06, 2012

Contact Information

415 N 9TH ST # 4W16
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-8000
Fax: (217) 757-6844

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  • Individual
  • Male
  • Pediatrics
  • Neonatal-Perinatal Medicine
  • PECOS Enrolled

About PELE DINA

This page provides the complete NPI Profile along with additional information for Pele Dina, a pediatrician established in Springfield, Illinois with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1275898116 assigned on July 2012. The practitioner's primary taxonomy code is 2080N0001X with license number 036-138186 (IL). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1275898116
Provider Name
PELE BOUTROUS DINA M.D
Gender
Male
Entity Type
Individual
Location Address
415 N 9TH ST # 4W16 SPRINGFIELD, IL 62702
Location Phone
(217) 545-8000
Location Fax
(217) 757-6844
Mailing Address
PO BOX 19676 SPRINGFIELD, IL 62794
Mailing Phone
(217) 545-8000
Mailing Fax
(217) 757-6844
Is Sole Proprietor?
No
Enumeration Date
07-06-2012
Last Update Date
05-16-2018
Code Navigator

A pediatrician like Pele Dina 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.
036-138186
License State
IL
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.

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
036-138186OTHER (01)ILSTATE LICENSE

Medicare Participation & PECOS Enrollment Status

Pele Dina 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 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 1275898116, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 7 → 14 → 5 8 → 16 → 7 8 → 16 → 7 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 + 4 + 5 + 1 + 6 + 9 + 1 + 6 + 1 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1275898116.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner (Neonatal, Critical Care)
415 N 9TH ST # 4W16
SPRINGFIELD, IL 62702
Nurse Practitioner (Neonatal, Critical Care)
415 N 9TH ST # 4W16
SPRINGFIELD, IL 62702
Pediatrics (Pediatric Critical Care Medicine)
415 N 9TH ST # 4W16
SPRINGFIELD, IL 62702
Nurse Practitioner (Pediatrics)
415 N 9TH ST # 4W16
SPRINGFIELD, IL 62702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275898116, enumerated as an "individual" on July 06, 2012.

The provider is located at 415 N 9TH ST # 4W16 SPRINGFIELD, IL 62702 and the phone number is (217) 545-8000.

Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

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