SUNDANCE PHYSICIAN SERVICES, INC
NPI 1326490889
Emergency Medicine in Austin, TX

NPI Status: Active since July 08, 2016

Contact Information

7500 RIALTO BLVD STE 1-140
AUSTIN, TX
ZIP 78735
Phone: (512) 730-3060
Fax: (888) 730-1925

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Emergency Medicine

About SUNDANCE PHYSICIAN SERVICES, INC

This page provides the complete NPI Profile along with additional information for Sundance Physician Services, Inc, a provider established in Austin, Texas operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1326490889 assigned on July 2016. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Sundance Physician Services, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ryan Carletti (Vp Of Operations)

NPI: 1326490889
Provider Name: SUNDANCE PHYSICIAN SERVICES, INC
Entity Type: Organization
Location Address: 7500 RIALTO BLVD STE 1-140 AUSTIN, TX 78735
Location Phone: (512) 730-3060
Location Fax: (888) 730-1925
Mailing Address: 7500 RIALTO BLVD STE 1-140 AUSTIN, TX 78735
Mailing Phone: (512) 730-3060
Mailing Fax: (888) 730-1925
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-08-2016
Last Update Date: 08-15-2023
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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: Emergency Medicine
Taxonomy Code: 207P00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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.

Insurance Plans Accepted

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

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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.

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: RYAN CARLETTI
Authorized Official Title: VP OF OPERATIONS
Authorized Official Phone: (330) 727-3530

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
36756901	MEDICAID (05)	TX

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	3	2	6	4	9	0	8	8	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	4	6	8	9	0	8	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 8 + 9 + 0 + 8 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 9									9

The NPI number 1326490889 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.