ROBERT LIONEL JACK M.D.
NPI 1376601443
Specialist in Menlo Park, CA
NPI Status: Active since December 04, 2006
Contact Information
1225 CRANE ST
MENLO PARK, CA
ZIP 94025
Phone: (650) 323-0231
Fax: (650) 565-8297
- Individual
- Male
- Specialist
- PECOS Enrolled
About ROBERT JACK
This page provides the complete NPI Profile along with additional information for Robert Jack, a provider established in Menlo Park, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1376601443 assigned on December 2006. The practitioner's primary taxonomy code is 174400000X with license number G17236 (CA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1376601443
- Provider Name
- ROBERT LIONEL JACK M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1225 CRANE ST MENLO PARK, CA 94025
- Location Phone
- (650) 323-0231
- Location Fax
- (650) 565-8297
- Mailing Address
- 2452 WATSON CT PALO ALTO, CA 94303
- Mailing Phone
- (650) 721-6888
- Mailing Fax
- (650) 565-8297
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-04-2006
- Last Update Date
- 01-03-2012
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- G17236
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Medicare Participation & PECOS Enrollment Status
Robert Jack 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: Durable Medical Equipment (DME) 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: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
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 1376601443, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 is 60. 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.
MENLO PARK, CA 94025
MENLO PARK, CA 94025
MENLO PARK, CA 94025
MENLO PARK, CA 94025
MENLO PARK, CA 94025
MENLO PARK, CA 94025
MENLO PARK, CA 94025
MENLO PARK, CA 94025
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376601443, enumerated as an "individual" on December 04, 2006.
The provider is located at 1225 CRANE ST MENLO PARK, CA 94025 and the phone number is (650) 323-0231.
Specialist with taxonomy code 174400000X.
