J EDSON PONTES MD
NPI 1285681981
Urology in Detroit, MI
NPI Status: Active since May 28, 2006
Contact Information
4100 JOHN R ST
DETROIT, MI
ZIP 48201
Phone: (800) 527-6266
Fax: (313) 966-8207
- Individual
- Male
- Urology
- Accepts Insurance
- PECOS Enrolled
About J PONTES
This page provides the complete NPI Profile along with additional information for J Pontes, a provider established in Detroit, Michigan with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1285681981 assigned on May 2006. The practitioner's primary taxonomy code is 208800000X with license number 4301031303 (MI). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1285681981
- Provider Name
- J EDSON PONTES MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4100 JOHN R ST DETROIT, MI 48201
- Location Phone
- (800) 527-6266
- Location Fax
- (313) 966-8207
- Mailing Address
- 400 MACK BLVD STE 2 WEST CREDENTIALING DEPT DETROIT, MI 48201
- Mailing Phone
- (313) 448-9006
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-28-2006
- Last Update Date
- 04-30-2020
- 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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301031303
- License State
- MI
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (No Referrals) - HMO
- UHC Bronze Value+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage (No Referrals) - HMO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
J Pontes 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
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48201 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.28
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.57
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.38
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $18.09
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for J EDSON PONTES MD
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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 | 8 | 5 | 6 | 8 | 1 | 9 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 8 | 2 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 8 + 2 + 9 + 1 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1285681981 is valid because the calculated check digit 1 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.
MARIA VLACHAKI M.D.
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CHRISTINE RYMAL NP
Nurse Practitioner
(Adult Health)
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MRS. LAURIE ANNE FREEMAN-GIBB N.P.
Nurse Practitioner
(Adult Health)
4100 JOHN R ST
WALT CBC KARMANOS CC
DETROIT, MI
ZIP 48201
DR. SIMON MICHAEL CRONIN PHARM.D.
Pharmacist
(Pharmacotherapy)
4100 JOHN R ST
DETROIT, MI
ZIP 48201
ANDREA P SAMPSON-HAGGOOD N.P.
Nurse Practitioner
4100 JOHN R ST
DETROIT, MI
ZIP 48201
MR. STEPHEN T SMITH RPH, MS
Pharmacist
(Pharmacotherapy)
4100 JOHN R ST
PHARMACY DEPARTMENT
DETROIT, MI
ZIP 48201
JENNIFER WEDGE CNP
Nurse Practitioner
4100 JOHN R ST
DETROIT, MI
ZIP 48201
KAREN NICHOLS CNP
Nurse Practitioner
4100 JOHN R ST
DETROIT, MI
ZIP 48201
DR. NATASHA LYNNE ROBINETTE M.D.
Radiology
(Neuroradiology)
4100 JOHN R ST
MAILCODE HP07ID
DETROIT, MI
ZIP 48201
CHIN YEH LIU
Pharmacist
(Oncology)
4100 JOHN R ST
DETROIT, MI
ZIP 48201
PATRICIA ANN RAYNER PHARM. D.
Pharmacist
4100 JOHN R ST
DETROIT, MI
ZIP 48201
NAZIK HAMMAD MD
Internal Medicine
(Medical Oncology)
4100 JOHN R ST
DETROIT, MI
ZIP 48201
DAVID JAMES REEVES PHARM.D.
Pharmacist
(Oncology)
4100 JOHN R ST
DETROIT, MI
ZIP 48201
MARY ANN NAGY RPH
Pharmacist
(Pharmacotherapy)
4100 JOHN R ST
PHARMACY DEPARTMENT
DETROIT, MI
ZIP 48201
DR. SHIN OGITA M.D.
Internal Medicine
(Hematology & Oncology)
4100 JOHN R ST
HW04HO
DETROIT, MI
ZIP 48201
ELIZABETH HAY PHARMD
Pharmacist
(Oncology)
4100 JOHN R ST
DETROIT, MI
ZIP 48201
MISS DANIELLE ALLYN BAILLARGEON P.A.-C.
Physician Assistant
4100 JOHN R ST
DETROIT, MI
ZIP 48201
BARBARA ADAM N.P.
Nurse Practitioner
4100 JOHN R ST
DETROIT, MI
ZIP 48201
MRS. LINDA MARY VANNI RN, MSN, ACNS-BC, NP
Nurse Practitioner
4100 JOHN R ST
DETROIT, MI
ZIP 48201
MS. KATHLEEN ELLIZABETH REYNOLDS RN, MSN, CNS, NP
Registered Nurse
(Psychiatric/Mental Health, Adult)
4100 JOHN R ST
WEO1PF
DETROIT, MI
ZIP 48201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285681981, enumerated as an "individual" on May 28, 2006.
The provider is located at 4100 JOHN R ST DETROIT, MI 48201 and the phone number is (800) 527-6266.
Urology with taxonomy code 208800000X.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
