MANUELLA S LAHOUD-RAHME M.D.
NPI 1356505515
Pediatrics - Pediatric Emergency Medicine in Pittsburgh, PA

NPI Status: Active since July 16, 2008

Contact Information

3705 5TH AVE
PITTSBURGH, PA
ZIP 15213
Phone: (412) 692-7366

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  • Individual
  • Female
  • Years of Experience 27
  • Pediatrics
  • Pediatric Emergency Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MANUELLA LAHOUD-RAHME

This page provides the complete NPI Profile along with additional information for Manuella Lahoud-rahme, a pediatrician established in Pittsburgh, Pennsylvania with a medical specialization in Pediatrics, focusing in pediatric emergency medicine and more than 27 years of experience. The healthcare provider is registered in the NPI registry with number 1356505515 assigned on July 2008. The practitioner's primary taxonomy code is 2080P0204X with license number 235201 (MA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1356505515
Provider Name
MANUELLA S LAHOUD-RAHME M.D.
Gender
Female
Entity Type
Individual
Location Address
3705 5TH AVE PITTSBURGH, PA 15213
Location Phone
(412) 692-7366
Mailing Address
5700 BUNKERHILL ST APT 1102 PITTSBURGH, PA 15206
Mailing Phone
(412) 692-7366
Medical School Name
OTHER
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
07-16-2008
Last Update Date
07-16-2008
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A pediatrician like Manuella Lahoud-rahme 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 Emergency Medicine

Taxonomy Code
2080P0204X
Type
Allopathic & Osteopathic Physicians
License No.
235201
License State
MA
Taxonomy Description
A pediatrician who has special qualifications to manage emergencies in infants and children.

Insurance Plans Accepted

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

  • WellSense Clarity NH Bronze 6500 HSA + $0 Rx List + 24/7 Nurse Advice - HMO
  • WellSense Clarity NH Bronze 7500 HSA + $0 Rx List + 24/7 Nurse Advice - HMO
  • WellSense Clarity NH Bronze 7600 HSA + $0 Rx List + 24/7 Nurse Advice - HMO
  • WellSense Clarity NH Gold 2000 + $0 Rx List + 24/7 Nurse Advice - HMO
  • WellSense Clarity NH Silver 0 Deductible + $0 Rx List + 24/7 Nurse Advice - HMO
  • WellSense Clarity NH Silver 3400 + $0 Rx List + 24/7 Nurse Advice - HMO
  • WellSense Clarity NH Silver 6000 + $0 Rx List + 24/7 Nurse Advice - HMO

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

Medicare Participation & PECOS Enrollment Status

Manuella Lahoud-rahme 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.

Manuella Lahoud-rahme 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: 8921176629

    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: I20081008000332

    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 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 1356505515, 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
5
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 5 → 10 → 1 5 → 10 → 1 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 + 1 + 0 + 6 + 1 + 0 + 0 + 1 + 0 + 5 + 2 + 24 = 45

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

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1356505515.

Other Providers at the Same Location


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

Pharmacist
3705 5TH AVE, PHARMACY DEPARTMENT
PITTSBURGH, PA 15213
Pharmacist
3705 5TH AVE
PITTSBURGH, PA 15213
Pediatrics (Pediatric Gastroenterology)
3705 5TH AVE, ROOM 3200DW
PITTSBURGH, PA 15213
Specialist
3705 5TH AVE, CHILDREN'S HOSPITAL,1ST FLOOR ROOM 1650
PITTSBURGH, PA 15213
Specialist
3705 5TH AVE, ROOM 4B320
PITTSBURGH, PA 15213
Specialist
3705 5TH AVE
PITTSBURGH, PA 15213
Specialist
3705 5TH AVE, ROOM 2820
PITTSBURGH, PA 15213
Anesthesiology
3705 5TH AVE
PITTSBURGH, PA 15213
Specialist
3705 5TH AVE
PITTSBURGH, PA 15213
Specialist
3705 5TH AVE
PITTSBURGH, PA 15213
Specialist
3705 5TH AVE, CHILDREN'S HOSPITAL,1ST FLOOR ROOM 1650
PITTSBURGH, PA 15213
Specialist
3705 5TH AVE, ROOM 2950
PITTSBURGH, PA 15213
Specialist
3705 5TH AVE
PITTSBURGH, PA 15213
Nurse Anesthetist, Certified Registered
3705 5TH AVE
PITTSBURGH, PA 15213
Specialist
3705 5TH AVE, ROOM 4A330
PITTSBURGH, PA 15213
Specialist
3705 5TH AVE, CHILDREN'S HOSPITAL, SUITE 4A485
PITTSBURGH, PA 15213
Specialist
3705 5TH AVE, ROOM 2820
PITTSBURGH, PA 15213
Specialist
3705 5TH AVE, ROOM 4B385
PITTSBURGH, PA 15213
Specialist
3705 5TH AVE, 1ST FLOOR MAIN TOWER
PITTSBURGH, PA 15213
Specialist
3705 5TH AVE, 1ST FLOOR MAIN TOWER
PITTSBURGH, PA 15213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356505515, enumerated as an "individual" on July 16, 2008.

The provider is located at 3705 5TH AVE PITTSBURGH, PA 15213 and the phone number is (412) 692-7366.

Pediatrics with taxonomy code 2080P0204X and a focus in Pediatric Emergency Medicine.

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