CONGENITAL HEART
NPI 1346311925
Pediatrics - Pediatric Cardiology in Scarborough, ME
NPI Status: Active since November 13, 2006
Contact Information
71 US ROUTE 1
SUITE C
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 883-5532
Fax: (207) 883-5552
- Organization
- Pediatrics
- Pediatric Cardiology
- Accepts Insurance
About CONGENITAL HEART
This page provides the complete NPI Profile along with additional information for Congenital Heart, a pediatrician established in Scarborough, Maine operating as a Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1346311925 assigned on November 2006. The practitioner's primary taxonomy code is 2080P0202X with license number 014324 (ME). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Congenital Heart. The authorized official of this NPI record is Dr. Jon Patrick Donnelly Md (President)
- NPI
- 1346311925
- Provider Legal Name
- PEDIATRIC CARDIOLOGY ASSOC PA
- Other Organization Name
- CONGENITAL HEART
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 71 US ROUTE 1 SUITE C SCARBOROUGH, ME 04074
- Location Phone
- (207) 883-5532
- Location Fax
- (207) 883-5552
- Mailing Address
- 71 US ROUTE 1 SUITE C SCARBOROUGH, ME 04074
- Mailing Phone
- (207) 883-5532
- Mailing Fax
- (207) 883-5552
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-13-2006
- Last Update Date
- 08-28-2017
- Code Navigator
A pediatrician like Congenital Heart 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
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 Cardiology
- Taxonomy Code
- 2080P0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 014324
- License State
- ME
- Taxonomy Description
- A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
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.
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 |
|---|---|---|---|
| MM5850 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 112590000 | MEDICAID (05) | ME | |
| 30004962 | MEDICAID (05) | NH |
Reviews for CONGENITAL HEART
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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 1346311925, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
SCARBOROUGH, ME 04074
SCARBOROUGH, ME 04074
SCARBOROUGH, ME 04074
SCARBOROUGH, ME 04074
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346311925, enumerated as an "organization" on November 13, 2006.
The provider is located at 71 US ROUTE 1 SUITE C SCARBOROUGH, ME 04074 and the phone number is (207) 883-5532.
Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.
The provider might be accepting Accepts: Ambetter from NH Healthy Families, Medicare and. Please consult your insurance carrier or call the provider to verify.
