CHILDRENS DIABETES AND ENDOCRINOLOGY
NPI 1386070019
Pediatrics - Pediatric Endocrinology in Louisville, KY

NPI Status: Active since September 26, 2013

Contact Information

9720 PARK PLAZA AVE UNIT 202
LOUISVILLE, KY
ZIP 40241
Phone: (502) 327-9703
Fax: (502) 327-9798

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  • Organization
  • Pediatrics
  • Pediatric Endocrinology
  • CLIA Number: 18D1025622
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-11-2028

About CHILDRENS DIABETES AND ENDOCRINOLOGY

This page provides the complete NPI Profile along with additional information for Childrens Diabetes And Endocrinology, a pediatrician established in Louisville, Kentucky operating as a Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1386070019 assigned on September 2013. The practitioner's primary taxonomy code is 2080P0205X with license number 34555 (KY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Childrens Diabetes And Endocrinology. The authorized official of this NPI record is Susie Minsterketter (Billing Dept)

NPI
1386070019
Provider Legal Name
SUSAN RAGHAVAN, MD
Other Organization Name
CHILDRENS DIABETES AND ENDOCRINOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9720 PARK PLAZA AVE UNIT 202 LOUISVILLE, KY 40241
Location Phone
(502) 327-9703
Location Fax
(502) 327-9798
Mailing Address
9720 PARK PLAZA AVE UNIT 202 LOUISVILLE, KY 40241
Mailing Phone
(502) 327-9703
Mailing Fax
(502) 327-9798
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2013
Last Update Date
09-26-2013
Code Navigator

A pediatrician like Childrens Diabetes And Endocrinology 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 Pediatric Endocrinology

Taxonomy Code
2080P0205X
Type
Allopathic & Osteopathic Physicians
License No.
34555
License State
KY
Taxonomy Description
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUSIE MINSTERKETTER

Authorized Official Title
BILLING DEPT
Authorized Official Phone
(502) 327-9703

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
64880008MEDICAID (05)KY 
2080P0205XOTHER (01)KYPEDIATRIC ENDOCRINOLOGY

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D1025622
Facility Type
Physician Office
Certificate Effective Date
May 12, 2026
Certificate Expiration Date
May 11, 2028
Laboratory Director
SUSAN RAGHAVAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Childrens Diabetes And Endocrinology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1386070019, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
9
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 8 → 16 → 7 0 → 0 0 → 0 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 + 6 + 6 + 0 + 7 + 0 + 0 + 2 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1386070019.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pediatrics (Pediatric Endocrinology)
9720 PARK PLAZA AVE UNIT 202
LOUISVILLE, KY 40241

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386070019, enumerated as an "organization" on September 26, 2013.

The provider is located at 9720 PARK PLAZA AVE UNIT 202 LOUISVILLE, KY 40241 and the phone number is (502) 327-9703.

Pediatrics with taxonomy code 2080P0205X and a focus in Pediatric Endocrinology.

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