STATELINE HEART AND VASCULAR HEALTH, INC
NPI 1306361803
Internal Medicine - Cardiovascular Disease in Martinsville, VA
NPI Status: Active since August 07, 2017
Contact Information
312 FAIRY STREET EXT STE 101
MARTINSVILLE, VA
ZIP 24112
Phone: (757) 813-6493
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 49D2141236
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-13-2026
About STATELINE HEART AND VASCULAR HEALTH, INC
This page provides the complete NPI Profile along with additional information for Stateline Heart And Vascular Health, Inc, an internist established in Martinsville, Virginia operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1306361803 assigned on August 2017. The practitioner's primary taxonomy code is 207RC0000X with license number 0101230554 (VA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Deepak Dilip Banerjee Md (President)
- NPI
- 1306361803
- Provider Name
- STATELINE HEART AND VASCULAR HEALTH, INC
- Entity Type
- Organization
- Location Address
- 312 FAIRY STREET EXT STE 101 MARTINSVILLE, VA 24112
- Location Phone
- (757) 813-6493
- Mailing Address
- 20 HUNT COUNTRY FARMS RD MARTINSVILLE, VA 24112
- Mailing Phone
- (757) 813-6493
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-07-2017
- Last Update Date
- 07-21-2022
- Code Navigator
An internist like Stateline Heart And Vascular Health, Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101230554
- License State
- VA
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2141236
- Facility Type
- Physician Office
- Certificate Effective Date
- December 14, 2024
- Certificate Expiration Date
- December 13, 2026
- Laboratory Director
- KAREN W. GARRETT
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Stateline Heart And Vascular Health, Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1306361803, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306361803, enumerated as an "organization" on August 07, 2017.
The provider is located at 312 FAIRY STREET EXT STE 101 MARTINSVILLE, VA 24112 and the phone number is (757) 813-6493.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
