DANIEL S SCHNEIDER M.D.
NPI 1376584466
Pediatrics - Pediatric Cardiology in Charlottesville, VA

NPI Status: Active since June 09, 2006

Contact Information

1204 W MAIN ST
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 924-0123
Fax: (434) 243-3300

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  • Individual
  • Male
  • Years of Experience 47
  • Pediatrics
  • Pediatric Cardiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DANIEL SCHNEIDER

This page provides the complete NPI Profile along with additional information for Daniel Schneider, a pediatrician established in Charlottesville, Virginia with a medical specialization in Pediatrics, focusing in pediatric cardiology and more than 47 years of experience. He graduated from Creighton University School Of Medicine in 1979. The healthcare provider is registered in the NPI registry with number 1376584466 assigned on June 2006. The practitioner's primary taxonomy code is 2080P0202X with license number 0101047450 (VA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1376584466
Provider Name
DANIEL S SCHNEIDER M.D.
Gender
Male
Entity Type
Individual
Location Address
1204 W MAIN ST CHARLOTTESVILLE, VA 22903
Location Phone
(434) 924-0123
Location Fax
(434) 243-3300
Mailing Address
PO BOX 9007 CHARLOTTESVILLE, VA 22906
Mailing Phone
(434) 295-1000
Mailing Fax
(434) 243-3300
Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1979
Is Sole Proprietor?
No
Enumeration Date
06-09-2006
Last Update Date
03-29-2021
Code Navigator

A pediatrician like Daniel Schneider 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

Secondary Locations

  • 1215 Lee St
    Charlottesville, VA 22908
    (434) 924-2335

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 Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
License No.
0101047450
License State
VA
Taxonomy Description
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

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)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

0101047450 (VA)

Insurance Plans Accepted

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

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs - HMO
  • Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - 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.

*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
0017448300001MEDICAID (05)PA 
119991900MEDICAID (05)MD 
1376584466MEDICAID (05)VA 
1000023584MEDICAID (05)DE 
006722288MEDICAID (05)VA 
1809310000MEDICAID (05)WV 
790500KMEDICAID (05)NC 

Medicare Participation & PECOS Enrollment Status

Daniel Schneider 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.

Daniel Schneider 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: 4385716075

    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: I20080714000179

    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

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Daniel Schneider is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIVERSITY OF VIRGINIA MEDICAL CENTER1215 LEE STREET
CHARLOTTESVILLE, VA 22908
(434) 924-0000Acute Care Hospitals
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER8260 ATLEE ROAD
MECHANICSVILLE, VA 23116
(804) 764-6000Acute Care Hospitals

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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 1376584466, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
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 7 → 14 → 5 5 → 10 → 1 4 → 8 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 + 4 + 6 + 1 + 0 + 8 + 8 + 4 + 1 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1376584466.

Other Providers at the Same Location


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

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CHARLOTTESVILLE, VA 22903
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CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Family)
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CHARLOTTESVILLE, VA 22903
Pediatrics (Developmental - Behavioral Pediatrics)
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CHARLOTTESVILLE, VA 22903
Pediatrics (Pediatric Infectious Diseases)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Pediatric Infectious Diseases)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Developmental - Behavioral Pediatrics)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Pediatric Cardiology)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Pediatric Cardiology)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Developmental - Behavioral Pediatrics)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Pediatric Nephrology)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Pediatrics)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Developmental - Behavioral Pediatrics)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Nurse Practitioner
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Pediatrics)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Pediatrics)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Pediatric Hematology-Oncology)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376584466, enumerated as an "individual" on June 09, 2006.

The provider is located at 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 and the phone number is (434) 924-0123.

Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Daniel Schneider is affiliated with: UNIVERSITY OF VIRGINIA MEDICAL CENTER and BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER.