MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC
NPI 1386902013
Pain Medicine - Interventional Pain Medicine in Niles, MI

NPI Status: Active since May 01, 2012

Contact Information

24 N SAINT JOSEPH AVE STE B
NILES, MI
ZIP 49120
Phone: (574) 252-4150
Fax: (574) 252-4159

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • Accepts Insurance

About MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC

This page provides the complete NPI Profile along with additional information for Michiana Spine, Sports & Occupational Rehab, Pc, a provider established in Niles, Michigan operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1386902013 assigned on May 2012. The practitioner's primary taxonomy code is 208VP0014X with license number 4301070312 (MI). The provider is registered as an organization and their NPI record was last updated 4 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 authorized official of this NPI record is Kevin G Drew Md (Owner)

NPI
1386902013
Provider Name
MICHIANA SPINE, SPORTS & OCCUPATIONAL REHAB, PC
Entity Type
Organization
Location Address
24 N SAINT JOSEPH AVE STE B NILES, MI 49120
Location Phone
(574) 252-4150
Location Fax
(574) 252-4159
Mailing Address
3740 EDISON LAKES PKWY MISHAWAKA, IN 46545
Mailing Phone
(574) 252-4150
Mailing Fax
(574) 252-4159
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-01-2012
Last Update Date
11-03-2022
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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

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
License No.
4301070312
License State
MI
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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:

  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

*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

KEVIN G DREW MD

Authorized Official Title
OWNER
Authorized Official Phone
(574) 252-4150

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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 1386902013, 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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
3
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 9 → 18 → 9 2 → 4 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 + 1 + 8 + 0 + 4 + 0 + 2 + 24 = 57

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.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1386902013.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386902013, enumerated as an "organization" on May 01, 2012.

The provider is located at 24 N SAINT JOSEPH AVE STE B NILES, MI 49120 and the phone number is (574) 252-4150.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.

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