MR. FAIZAL RAJESH NICHOLAS RAMDIAL MD
NPI 1326492596
Pediatrics - Pediatric Pulmonology in Lexington, KY

NPI Status: Active since April 14, 2016

Contact Information

740 S LIMESTONE
LEXINGTON, KY
ZIP 40536
Phone: (859) 218-2509
Fax: (859) 323-3499

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  • Individual
  • Male
  • Years of Experience 17
  • Pediatrics
  • Pediatric Pulmonology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About FAIZAL RAMDIAL

This page provides the complete NPI Profile along with additional information for Faizal Ramdial, a pediatrician established in Lexington, Kentucky with a medical specialization in Pediatrics, focusing in pediatric pulmonology and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1326492596 assigned on April 2016. The practitioner's primary taxonomy code is 2080P0214X with license number 56149 (KY). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1326492596
Provider Name
MR. FAIZAL RAJESH NICHOLAS RAMDIAL MD
Gender
Male
Entity Type
Individual
Location Address
740 S LIMESTONE LEXINGTON, KY 40536
Location Phone
(859) 218-2509
Location Fax
(859) 323-3499
Mailing Address
1611 NW 12 AVENUE HOLTZ BUILDING #6006 MIAMI, FL 33136
Mailing Phone
(305) 585-6042
Mailing Fax
(859) 323-3499
Medical School Name
OTHER
Graduation Year
2010
Is Sole Proprietor?
No
Enumeration Date
04-14-2016
Last Update Date
06-08-2022
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A pediatrician like Faizal Ramdial is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 1611 NW 12 Avenue
    Miami, FL 33136
    (305) 585-5437

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

Pediatrics Pediatric Pulmonology

Taxonomy Code
2080P0214X
Type
Allopathic & Osteopathic Physicians
License No.
56149
License State
KY
Taxonomy Description
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

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)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

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

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

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

Medicare Participation & PECOS Enrollment Status

Faizal Ramdial is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Faizal Ramdial 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

  • PECOS PAC ID: 9537548292

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220627001604

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Reviews for MR. FAIZAL RAJESH NICHOLAS RAMDIAL MD

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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 1326492596, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
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 4 → 8 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 4 + 6 + 8 + 9 + 4 + 5 + 1 + 8 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1326492596.

Other Providers at the Same Location


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

Physician Assistant (Surgical)
740 S LIMESTONE
LEXINGTON, KY 40536
Pediatrics (Neonatal-Perinatal Medicine)
740 S LIMESTONE
LEXINGTON, KY 40536
Nurse Practitioner (Pediatrics)
740 S LIMESTONE
LEXINGTON, KY 40536
Medical Genetics (Clinical Genetics (M.D.))
740 S LIMESTONE
LEXINGTON, KY 40536
Pediatrics (Pediatric Pulmonology)
740 S LIMESTONE
LEXINGTON, KY 40536
Pediatrics (Pediatric Nephrology)
740 S LIMESTONE
LEXINGTON, KY 40536
Pediatrics (Neonatal-Perinatal Medicine)
740 S LIMESTONE
LEXINGTON, KY 40536
Pediatrics
740 S LIMESTONE
LEXINGTON, KY 40536
Pediatrics (Pediatric Hematology-Oncology)
740 S LIMESTONE
LEXINGTON, KY 40536
Pediatrics (Pediatric Hematology-Oncology)
740 S LIMESTONE
LEXINGTON, KY 40536
Pediatrics
740 S LIMESTONE
LEXINGTON, KY 40536
Pediatrics
740 S LIMESTONE
LEXINGTON, KY 40536
Internal Medicine (Hematology)
740 S LIMESTONE
LEXINGTON, KY 40536
Pediatrics
740 S LIMESTONE
LEXINGTON, KY 40536
Pediatrics
740 S LIMESTONE
LEXINGTON, KY 40536
Nurse Practitioner (Neonatal)
740 S LIMESTONE
LEXINGTON, KY 40536
Pediatrics
740 S LIMESTONE
LEXINGTON, KY 40536
Pediatrics
740 S LIMESTONE
LEXINGTON, KY 40536
Pediatrics
740 S LIMESTONE
LEXINGTON, KY 40536
Pediatrics
740 S LIMESTONE
LEXINGTON, KY 40536

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326492596, enumerated as an "individual" on April 14, 2016.

The provider is located at 740 S LIMESTONE LEXINGTON, KY 40536 and the phone number is (859) 218-2509.

Pediatrics with taxonomy code 2080P0214X and a focus in Pediatric Pulmonology.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.