DR. KELLY ANN DZIALO MD
NPI 1407013246
Pediatrics in Philadelphia, PA

NPI Status: Active since May 20, 2008

Contact Information

1233 LOCUST ST
SUITE 400
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 545-8188
Fax: (215) 545-8446

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  • Individual
  • Female
  • Pediatrics
  • PECOS Enrolled

About KELLY DZIALO

This page provides the complete NPI Profile along with additional information for Kelly Dzialo, a pediatrician established in Philadelphia, Pennsylvania with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1407013246 assigned on May 2008. The practitioner's primary taxonomy code is 208000000X with license number MD452160 (PA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1407013246
Provider Name
DR. KELLY ANN DZIALO MD
Gender
Female
Entity Type
Individual
Location Address
1233 LOCUST ST SUITE 400 PHILADELPHIA, PA 19107
Location Phone
(215) 545-8188
Location Fax
(215) 545-8446
Mailing Address
1233 LOCUST ST SUITE 400 PHILADELPHIA, PA 19107
Mailing Phone
(215) 545-8188
Mailing Fax
(215) 545-8446
Is Sole Proprietor?
No
Enumeration Date
05-20-2008
Last Update Date
08-12-2014
Code Navigator

A pediatrician like Kelly Dzialo 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

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
MD452160
License State
PA
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

25MA08740500 (NJ)

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.

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
077356 SK3MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Kelly Dzialo 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

  • 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

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 19107 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.69
  • Minimum New Patient Price $59.88
  • Maximum New Patient Price $180.99
  • Average New Patient Copayment $23.17
  • Minimum New Patient Copayment $14.97
  • Maximum New Patient Copayment $45.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.21
  • Minimum Established Patient Price $19.3
  • Maximum Established Patient Price $147.29
  • Average Established Patient Copayment $26.3
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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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 1407013246, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
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 0 → 0 0 → 0 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 0 + 1 + 6 + 2 + 8 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1407013246.

Other Providers at the Same Location


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

Pediatrics
1233 LOCUST ST, SUITE 400
PHILADELPHIA, PA 19107
Pediatrics
1233 LOCUST ST, SUITE 400
PHILADELPHIA, PA 19107
Pediatrics
1233 LOCUST ST, SUITE 400
PHILADELPHIA, PA 19107
Pediatrics
1233 LOCUST ST, SUITE 400
PHILADELPHIA, PA 19107
Internal Medicine
1233 LOCUST ST
PHILADELPHIA, PA 19107
Internal Medicine
1233 LOCUST ST
PHILADELPHIA, PA 19107
Nurse Practitioner (Adult Health)
1233 LOCUST ST, 304
PHILADELPHIA, PA 19107
Community/Behavioral Health
1233 LOCUST ST, SUITE 201
PHILADELPHIA, PA 19107
Counselor
1233 LOCUST ST
PHILADELPHIA, PA 19107
Pediatrics
1233 LOCUST ST, SUITE 400
PHILADELPHIA, PA 19107
Nurse Practitioner (Pediatrics)
1233 LOCUST ST, SUITE 400
PHILADELPHIA, PA 19107
Clinic/Center (Physical Therapy)
1233 LOCUST ST
PHILADELPHIA, PA 19107
Nurse Practitioner
1233 LOCUST ST, 3RD FLOOR
PHILADELPHIA, PA 19107
Nurse Practitioner (Pediatrics)
1233 LOCUST ST, SUITE 400
PHILADELPHIA, PA 19107
Dental Hygienist
1233 LOCUST ST
PHILADELPHIA, PA 19107
Social Worker (Clinical)
1233 LOCUST ST
PHILADELPHIA, PA 19107
Counselor
1233 LOCUST ST, SUITE 202
PHILADELPHIA, PA 19107
Pediatrics (Adolescent Medicine)
1233 LOCUST ST
PHILADELPHIA, PA 19107
Dentist
1233 LOCUST ST, 3RD FLOOR
PHILADELPHIA, PA 19107
Physician Assistant (Medical)
1233 LOCUST ST
PHILADELPHIA, PA 19107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407013246, enumerated as an "individual" on May 20, 2008.

The provider is located at 1233 LOCUST ST SUITE 400 PHILADELPHIA, PA 19107 and the phone number is (215) 545-8188.

Pediatrics with taxonomy code 208000000X.

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