ELLEN GIUFFRE PT, DPT
NPI 1407242910
Health Maintenance Organization in Woodland Hills, CA
NPI Status: Active since April 10, 2015
Contact Information
5601 DE SOTO AVE
WOODLAND HILLS, CA
ZIP 91367
Phone: (818) 719-4525
- Individual
- Female
- Years of Experience 13
- Health Maintenance Organization
- Accepts Medicare Approved Payment
About ELLEN GIUFFRE
This page provides the complete NPI Profile along with additional information for Ellen Giuffre, a provider established in Woodland Hills, California with a medical specialization in Health Maintenance Organization and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1407242910 assigned on April 2015. The practitioner's primary taxonomy code is 302R00000X with license number 42404 (CA). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1407242910
- Provider Name
- ELLEN GIUFFRE PT, DPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5601 DE SOTO AVE WOODLAND HILLS, CA 91367
- Location Phone
- (818) 719-4525
- Mailing Address
- 5601 DE SOTO AVE WOODLAND HILLS, CA 91367
- Medical School Name
- OTHER
- Graduation Year
- 2014
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-10-2015
- Last Update Date
- 10-11-2021
- 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
Health Maintenance Organization
- Taxonomy Code
- 302R00000X
- Type
- Managed Care Organizations
- License No.
- 42404
- License State
- CA
- Taxonomy Description
- (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
Medicare Participation & PECOS Enrollment Status
Ellen Giuffre 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.
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.
PECOS PAC ID: 1850604265
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: I20150714002159
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.
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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 1407242910, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 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.
WOODLAND HILLS, CA 91367
WOODLAND HILLS, CA 91367
WOODLAND HILLS, CA 91367
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407242910, enumerated as an "individual" on April 10, 2015.
The provider is located at 5601 DE SOTO AVE WOODLAND HILLS, CA 91367 and the phone number is (818) 719-4525.
Health Maintenance Organization with taxonomy code 302R00000X.
