DR. RUCHA HAILY DALVI M.D.
NPI 1336692367
Psychiatry & Neurology - Child & Adolescent Psychiatry in Springfield, IL
NPI Status: Active since July 26, 2016
Contact Information
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
Phone: (217) 545-8000
Fax: (217) 545-9537
- Individual
- Female
- Years of Experience 15
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About RUCHA DALVI
This page provides the complete NPI Profile along with additional information for Rucha Dalvi, a provider established in Springfield, Illinois with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1336692367 assigned on July 2016. The practitioner's primary taxonomy code is 2084P0804X with license number 036.152943 (IL). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1336692367
- Provider Name
- DR. RUCHA HAILY DALVI M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 319 E MADISON ST FL 3 SPRINGFIELD, IL 62701
- Location Phone
- (217) 545-8000
- Location Fax
- (217) 545-9537
- Mailing Address
- 201 E MADISON ST STE 328 SPRINGFIELD, IL 62702
- Mailing Phone
- (217) 545-8000
- Medical School Name
- OTHER
- Graduation Year
- 2011
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-26-2016
- Last Update Date
- 05-03-2022
- Code Navigator
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
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036.152943
- License State
- IL
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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) |
---|---|---|---|---|
1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 125068426 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Rucha Dalvi 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.
Rucha Dalvi 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: 7315232030
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: I20220621001770
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
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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 | 3 | 6 | 6 | 9 | 2 | 3 | 6 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 6 | 6 | 12 | 9 | 4 | 3 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 6 + 6 + 1 + 2 + 9 + 4 + 3 + 1 + 2 + 24 = 63 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 63 = 7 | 7 |
The NPI number 1336692367 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MELISSA ANN MCCULLOCH LCSW
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KEISHA LESHON POWELL M.D.
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MRS. KELLY ANN KENDALL LCSW
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DR. LAURA K SHEA M.D.
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MITUL KADAKIA DO
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SPRINGFIELD, IL
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FRANCESCO INCANDELA
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(Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
PAMELA A CAMPBELL MD
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
DR. HENRY YAO ZHANG MD
Psychiatry & Neurology
(Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
DR. AMAL ASIRI MBBS, MD
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
SELEENA MEHER SHRESTHA MD
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
STEVEN IPPOLITO MD
Psychiatry & Neurology
(Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
CAITLIN CARTER DO
Psychiatry & Neurology
(Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
STACEY-ANN MILLER MD, MPH
Psychiatry & Neurology
(Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
PATRICK ABLER DO
Psychiatry & Neurology
(Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
MELISSA MAHONEY
Psychiatry & Neurology
(Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
MADELEINE ELIZABETH BRINDLE MD
Psychiatry & Neurology
(Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
MR. ROBERT PETER GLATZ MSW
Social Worker
(Clinical)
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
LAURA JOAN MOLONY MD
Psychiatry & Neurology
(Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
GARY ALBERTO MEJIA DO
Psychiatry & Neurology
(Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
TSZ KUEN CAROLINE HONG MD
Psychiatry & Neurology
(Psychiatry)
319 E MADISON ST FL 3
SPRINGFIELD, IL
ZIP 62701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336692367, enumerated as an "individual" on July 26, 2016.
The provider is located at 319 E MADISON ST FL 3 SPRINGFIELD, IL 62701 and the phone number is (217) 545-8000.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to verify.