RIZALDY GARCIA
NPI 1376109215
Podiatrist - Foot & Ankle Surgery in Cleveland, OH

NPI Status: Active since May 16, 2019

Contact Information

CLEVELAND CLINIC
9500 EUCLID AVENUE/NA23
CLEVELAND, OH
ZIP 44195
Phone: (216) 444-2200

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 8
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RIZALDY GARCIA

This page provides the complete NPI Profile along with additional information for Rizaldy Garcia, a provider established in Cleveland, Ohio with a medical specialization in Podiatrist, focusing in foot & ankle surgery and more than 8 years of experience. He graduated from Kent State University College Of Podiatric Medicine in 2019. The healthcare provider is registered in the NPI registry with number 1376109215 assigned on May 2019. The practitioner's primary taxonomy code is 213ES0103X with license number 59.000806 (OH). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1376109215
Provider Name
RIZALDY GARCIA
Gender
Male
Entity Type
Individual
Location Address
CLEVELAND CLINIC 9500 EUCLID AVENUE/NA23 CLEVELAND, OH 44195
Location Phone
(216) 444-2200
Mailing Address
CLEVELAND CLINIC 9500 EUCLID AVENUE/NA23 CLEVELAND, OH 44195
Mailing Phone
(216) 444-2200
Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year
2019
Is Sole Proprietor?
Yes
Enumeration Date
05-16-2019
Last Update Date
05-16-2019
Code Navigator

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

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
59.000806
License State
OH

Insurance Plans Accepted

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

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

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

Medicare Participation & PECOS Enrollment Status

Rizaldy Garcia 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.

Rizaldy Garcia 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) and a Home Health Agency (HHA).

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: 8123490257

    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: I20230217001474

    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: No

Reviews for RIZALDY GARCIA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1376109215, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
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 7 → 14 → 5 1 → 2 9 → 18 → 9 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 + 4 + 6 + 2 + 0 + 1 + 8 + 2 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1376109215.

Other Providers at the Same Location


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

Specialist
CLEVELAND CLINIC, CARDIOTHORACIC ANESTHESIA G30
CLEVELAND, OH 44195
Nurse Practitioner
CLEVELAND CLINIC, 9500 EUCLID AVENUE, MAIL CODE Q10
CLEVELAND, OH 44195
Internal Medicine (Endocrinology, Diabetes & Metabolism)
CLEVELAND CLINIC
CLEVELAND, OH 44195
Otolaryngology
CLEVELAND CLINIC, 9500 EUCLID AVENUE, A-71
CLEVELAND, OH 44195
Anesthesiology (Pediatric Anesthesiology)
CLEVELAND CLINIC, 9500 EUCLID AVE P21
CLEVELAND, OH 44195
Internal Medicine
CLEVELAND CLINIC, 9500 EUCLID AVENUE/S-70
CLEVELAND, OH 44195
Obstetrics & Gynecology
CLEVELAND CLINIC, 9500 EUCLID AVE # A81
CLEVELAND, OH 44195
Genetic Counselor, MS
CLEVELAND CLINIC, 9500 EUCLID AVENUE/NE50
CLEVELAND, OH 44195
Internal Medicine
CLEVELAND CLINIC, 9500 EUCLID AVENUE
CLEVELAND, OH 44195
Psychiatry & Neurology (Neurology)
CLEVELAND CLINIC, 9500 EUCLID AVENUE, MAILCODE S100C
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC, 9500 EUCLID AVE / L25
CLEVELAND, OH 44195
Colon & Rectal Surgery
CLEVELAND CLINIC, 9500 EUCLID AVE
CLEVELAND, OH 44195
Nurse Practitioner (Acute Care)
CLEVELAND CLINIC, 9500 EUCLID AVE, E-11
CLEVELAND, OH 44195
Pathology (Anatomic Pathology & Clinical Pathology)
CLEVELAND CLINIC, 9500 EUCLID AVE
CLEVELAND, OH 44195
Specialist
CLEVELAND CLINIC, 9500 EUCLID AVE.
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC, 9500 EUCLID AVE.
CLEVELAND, OH 44195
Dietitian, Registered
CLEVELAND CLINIC, 9500 EUCLID AVENUE, M17
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC, 9500 EUCLID AVENUE
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC, 9500 EUCLID AVENUE
CLEVELAND, OH 44195
Internal Medicine (Cardiovascular Disease)
CLEVELAND CLINIC, 9500 EUCLID AVENUE
CLEVELAND, OH 44195

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376109215, enumerated as an "individual" on May 16, 2019.

The provider is located at CLEVELAND CLINIC 9500 EUCLID AVENUE/NA23 CLEVELAND, OH 44195 and the phone number is (216) 444-2200.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.