DAVITA MEDICAL GROUP
NPI 1326338963
Nurse Practitioner - Acute Care in Albuquerque, NM

NPI Status: Active since April 17, 2011

Contact Information

5400 GIBSON BLVD SE
ALBUQUERQUE, NM
ZIP 87108
Phone: (505) 262-7026

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  • Organization
  • Nurse Practitioner
  • Acute Care

About DAVITA MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Davita Medical Group, a provider established in Albuquerque, New Mexico operating as a Nurse Practitioner, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1326338963 assigned on April 2011. The practitioner's primary taxonomy code is 363LA2100X with license number 01759 (NM). The provider is registered as an organization and their NPI record was last updated 7 years ago. Davita Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Davita Medical Group. The authorized official of this NPI record is John G Liethen (Secretary)

NPI
1326338963
Provider Legal Name
OPTUMCARE NEW MEXICO, LLC
Other Organization Name
DAVITA MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5400 GIBSON BLVD SE ALBUQUERQUE, NM 87108
Location Phone
(505) 262-7026
Mailing Address
PO BOX 27007 ALBUQUERQUE, NM 87125
Mailing Phone
(724) 971-3329
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2011
Last Update Date
08-22-2019
Code Navigator

A nurse practitioner (NP) like Davita Medical Group is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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

Nurse Practitioner Acute Care

Taxonomy Code
363LA2100X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
01759
License State
NM

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

JOHN G LIETHEN

Authorized Official Title
SECRETARY
Authorized Official Phone
(952) 205-6262

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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 1326338963, 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
2
Doubled → 4
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
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 2 → 4 3 → 6 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 4 + 6 + 6 + 3 + 1 + 6 + 9 + 1 + 2 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1326338963.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Emergency Medicine
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Physician Assistant (Medical)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Hospitalist
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Otolaryngology
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Registered Nurse (Diabetes Educator)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Internal Medicine (Rheumatology)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Physician Assistant (Medical)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Optometrist
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Ophthalmology
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
Internal Medicine (Cardiovascular Disease)
5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326338963, enumerated as an "organization" on April 17, 2011.

The provider is located at 5400 GIBSON BLVD SE ALBUQUERQUE, NM 87108 and the phone number is (505) 262-7026.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.