MATTHEW GERALD DITZLER MD
NPI 1326395112
Radiology - Pediatric Radiology in Dallas, TX

NPI Status: Active since August 10, 2012

Contact Information

2222 WELBORN ST
DALLAS, TX
ZIP 75219
Phone: (214) 559-7549

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  • Individual
  • Male
  • Radiology
  • Pediatric Radiology
  • Accepts Insurance
  • PECOS Enrolled

About MATTHEW DITZLER

This page provides the complete NPI Profile along with additional information for Matthew Ditzler, a provider established in Dallas, Texas with a medical specialization in Radiology, focusing in pediatric radiology . The healthcare provider is registered in the NPI registry with number 1326395112 assigned on August 2012. The practitioner's primary taxonomy code is 2085P0229X with license number R3662 (TX). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1326395112
Provider Name
MATTHEW GERALD DITZLER MD
Gender
Male
Entity Type
Individual
Location Address
2222 WELBORN ST DALLAS, TX 75219
Location Phone
(214) 559-7549
Mailing Address
2222 WELBORN ST DALLAS, TX 75219
Mailing Phone
(214) 559-7549
Is Sole Proprietor?
No
Enumeration Date
08-10-2012
Last Update Date
02-13-2024
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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

Radiology Pediatric Radiology

Taxonomy Code
2085P0229X
Type
Allopathic & Osteopathic Physicians
License No.
R3662
License State
TX
Taxonomy Description
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

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)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

R3662 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BSW Diabetes Care Gold HMO 014 - HMO
  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Savers Bronze HMO H S A 009 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Matthew Ditzler 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 1326395112, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 5 → 10 → 1 1 → 2

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 + 9 + 1 + 0 + 1 + 2 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1326395112.

Other Providers at the Same Location


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

Recreation Therapist
2222 WELBORN ST
DALLAS, TX 75219
Orthopaedic Surgery (Hand Surgery)
2222 WELBORN ST
DALLAS, TX 75219
Physician Assistant
2222 WELBORN ST
DALLAS, TX 75219
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2222 WELBORN ST
DALLAS, TX 75219
Physical Therapist (Pediatrics)
2222 WELBORN ST
DALLAS, TX 75219
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
2222 WELBORN ST
DALLAS, TX 75219
Physician Assistant (Medical)
2222 WELBORN ST
DALLAS, TX 75219
Physician Assistant
2222 WELBORN ST
DALLAS, TX 75219
Physician Assistant
2222 WELBORN ST
DALLAS, TX 75219
Occupational Therapist
2222 WELBORN ST
DALLAS, TX 75219
Clinical Nurse Specialist (Pediatrics)
2222 WELBORN ST, 4TH FLOOR
DALLAS, TX 75219
Physical Therapist (Pediatrics)
2222 WELBORN ST
DALLAS, TX 75219
Physical Therapist
2222 WELBORN ST
DALLAS, TX 75219
Physical Therapist
2222 WELBORN ST
DALLAS, TX 75219
Physical Therapist (Pediatrics)
2222 WELBORN ST
DALLAS, TX 75219
Physical Therapist
2222 WELBORN ST
DALLAS, TX 75219
Physical Therapist (Pediatrics)
2222 WELBORN ST
DALLAS, TX 75219
Physical Therapist (Pediatrics)
2222 WELBORN ST
DALLAS, TX 75219
Occupational Therapist
2222 WELBORN ST
DALLAS, TX 75219
Occupational Therapy Assistant
2222 WELBORN ST
DALLAS, TX 75219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326395112, enumerated as an "individual" on August 10, 2012.

The provider is located at 2222 WELBORN ST DALLAS, TX 75219 and the phone number is (214) 559-7549.

Radiology with taxonomy code 2085P0229X and a focus in Pediatric Radiology.

The provider might be accepting Accepts: Baylor Scott and White Health Plan. Please consult your insurance carrier or call the provider to verify.