PDS GROUP LLC
NPI 1366122566
Health Educator in Bloomington, IN

NPI Status: Active since July 21, 2023

Contact Information

2559 S ADDISYN LN
BLOOMINGTON, IN
ZIP 47403
Phone: (317) 349-7680
Fax: (833) 975-0724

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  • Organization
  • Health Educator
  • CLIA Number: 15D2322902
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 04-28-2027

About PDS GROUP LLC

This page provides the complete NPI Profile along with additional information for Pds Group Llc, a provider established in Bloomington, Indiana operating as a Health Educator. The healthcare provider is registered in the NPI registry with number 1366122566 assigned on July 2023. The practitioner's primary taxonomy code is 174H00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Pds Group Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. James Penticuff (Managing Member)

NPI
1366122566
Provider Name
PDS GROUP LLC
Entity Type
Organization
Location Address
2559 S ADDISYN LN BLOOMINGTON, IN 47403
Location Phone
(317) 349-7680
Location Fax
(833) 975-0724
Mailing Address
2559 S ADDISYN LN BLOOMINGTON, IN 47403
Mailing Phone
(317) 349-7680
Mailing Fax
(833) 975-0724
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-21-2023
Last Update Date
09-09-2024
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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

Health Educator

Taxonomy Code
174H00000X
Type
Other Service Providers
Taxonomy Description
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.

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)
1163WA2000XNursing Service Providers

Registered Nurse
Administrator

 
2163WC0400XNursing Service Providers

Registered Nurse
Case Management

 
3163WD0400XNursing Service Providers

Registered Nurse
Diabetes Educator

 
4171M00000XOther Service Providers

Case Manager/Care Coordinator

 
5246QM0706XTechnologists, Technicians & Other Technical Service Providers

Specialist/Technologist, Pathology
Medical Technologist

 

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.

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

MR. JAMES PENTICUFF

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(317) 714-2754

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2322902
Facility Type
Practitioner Other
Certificate Effective Date
April 29, 2025
Certificate Expiration Date
April 28, 2027
Laboratory Director
JOHN D. HEFLIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pds Group Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1366122566, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 6 → 12 → 3 1 → 2 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 2 + 2 + 4 + 5 + 1 + 2 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1366122566.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner
2559 S ADDISYN LN
BLOOMINGTON, IN 47403
Nurse Practitioner
2559 S ADDISYN LN
BLOOMINGTON, IN 47403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366122566, enumerated as an "organization" on July 21, 2023.

The provider is located at 2559 S ADDISYN LN BLOOMINGTON, IN 47403 and the phone number is (317) 349-7680.

Health Educator with taxonomy code 174H00000X.