MARIA AILEENMICHELLE P MEDINA M.D.
NPI 1366463515
Pediatrics in Garfield Heights, OH
NPI Status: Active since July 22, 2006
Contact Information
12000 MCCRACKEN RD
SUITE 206
GARFIELD HEIGHTS, OH
ZIP 44125
Phone: (216) 584-7840
Fax: (216) 584-7860
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About MARIA AILEENMICHELLE MEDINA
This page provides the complete NPI Profile along with additional information for Maria Aileenmichelle Medina, a pediatrician established in Garfield Heights, Ohio with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1366463515 assigned on July 2006. The practitioner's primary taxonomy code is 208000000X with license number 74782 (OH). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1366463515
- Provider Name
- MARIA AILEENMICHELLE P MEDINA M.D.
- Other Name
- MICHELLE P MEDINA M.D.
- Other Name Type
- Professional Name (2)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 12000 MCCRACKEN RD SUITE 206 GARFIELD HEIGHTS, OH 44125
- Location Phone
- (216) 584-7840
- Location Fax
- (216) 584-7860
- Mailing Address
- 12000 MCCRACKEN RD SUITE 206 GARFIELD HEIGHTS, OH 44125
- Mailing Phone
- (216) 584-7840
- Mailing Fax
- (216) 584-7860
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-22-2006
- Last Update Date
- 10-11-2007
- Code Navigator
A pediatrician like Maria Aileenmichelle Medina 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
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 74782
- License State
- OH
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic PCP Saver | Cleveland Clinic - HMO
- Bronze Classic Standard | Cleveland Clinic - HMO
- Bronze Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic - HMO
- Bronze Simple Chronic Care CKM | Cleveland Clinic - HMO
- Bronze Simple Diabetes | Cleveland Clinic - HMO
- Bronze Simple HSA | Cleveland Clinic - HMO
- Gold Classic Standard | Cleveland Clinic - HMO
- Gold Elite | Cleveland Clinic - HMO
- Gold Elite Saver Plus | Cleveland Clinic - HMO
- Silver Classic Standard | Cleveland Clinic - HMO
- Silver Elite Saver Plus | Cleveland Clinic - HMO
- Silver Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic - HMO
- Silver Simple Chronic Care CKM | Cleveland Clinic - HMO
- Silver Simple Diabetes | Cleveland Clinic - HMO
- Silver Simple PCP Saver | Cleveland Clinic - HMO
- Silver Simple Women's Health with Menopause Benefits | Cleveland Clinic - HMO
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.
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 |
|---|---|---|---|
| 400779 | OTHER (01) | OH | WELLCARE |
| 2741322 | MEDICAID (05) | OH | |
| 7371171 | MEDICARE PIN (08) | OH | |
| G99198 | MEDICARE UPIN (02) | AL |
Medicare Participation & PECOS Enrollment Status
Maria Aileenmichelle Medina 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
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
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 44125 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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 1366463515, 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 20 providers are registered at the same or a nearby location.
GARFIELD HEIGHTS, OH 44125
GARFIELD HEIGHTS, OH 44125
GARFIELD HTS, OH 44125
GARFIELD HTS, OH 44125
GARFIELD HTS, OH 44125
GARFIELD HTS, OH 44125
GARFIELD HTS, OH 44125
GARFIELD HEIGHTS, OH 44125
GARFIELD HEIGHTS, OH 44125
GARFIELD HTS, OH 44125
GARFIELD HTS, OH 44125
GARFIELD HTS, OH 44125
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366463515, enumerated as an "individual" on July 22, 2006.
The provider is located at 12000 MCCRACKEN RD SUITE 206 GARFIELD HEIGHTS, OH 44125 and the phone number is (216) 584-7840.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Oscar Insurance Corporation of Ohio, Wellcare,. Please consult your insurance carrier or call the provider to verify.
