DR. NATALIE HERNANDEZ-KOZMA M.D.
NPI 1366713901
General Practice in Mayaguez, PR
NPI Status: Active since January 12, 2012
Contact Information
740 AVE HOSTOS
MEDICAL CENTER PLAZA, SUITE 305
MAYAGUEZ, PR
ZIP 00682
Phone: (787) 652-4864
Fax: (787) 652-4865
- Individual
- Female
- Years of Experience 26
- General Practice
- Accepts Medicare Approved Payment
- PECOS Enrolled
About NATALIE HERNANDEZ-KOZMA
This page provides the complete NPI Profile along with additional information for Natalie Hernandez-kozma, a primary care provider established in Mayaguez, Puerto Rico with a medical specialization in General Practice and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1366713901 assigned on January 2012. The practitioner's primary taxonomy code is 208D00000X with license number 18, 380 (PR). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1366713901
- Provider Name
- DR. NATALIE HERNANDEZ-KOZMA M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 740 AVE HOSTOS MEDICAL CENTER PLAZA, SUITE 305 MAYAGUEZ, PR 00682
- Location Phone
- (787) 652-4864
- Location Fax
- (787) 652-4865
- Mailing Address
- PO BOX 7436 MAYAGUEZ, PR 00681
- Mailing Phone
- (787) 652-4864
- Mailing Fax
- (787) 652-4865
- Medical School Name
- OTHER
- Graduation Year
- 2000
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-12-2012
- Last Update Date
- 12-11-2015
- Code Navigator
A primary care provider (PCP) like Natalie Hernandez-kozma sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 18, 380
- License State
- PR
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Medicare Participation & PECOS Enrollment Status
Natalie Hernandez-kozma 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.
Natalie Hernandez-kozma 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: 6204096662
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: I20120322000558
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 1366713901, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
MAYAGUEZ, PR 00682
MAYAGUEZ, PR 00682
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366713901, enumerated as an "individual" on January 12, 2012.
The provider is located at 740 AVE HOSTOS MEDICAL CENTER PLAZA, SUITE 305 MAYAGUEZ, PR 00682 and the phone number is (787) 652-4864.
General Practice with taxonomy code 208D00000X.
