INNOVATIVE EXPRESS CLINIC
NPI 1407306806
Internal Medicine in Kissimmee, FL

NPI Status: Active since October 10, 2016

Contact Information

3014 MICHIGAN AVE
KISSIMMEE, FL
ZIP 34744
Phone: (407) 986-0650
Fax: (407) 930-4632

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  • Organization
  • Internal Medicine
  • CLIA Number: 10D2000043
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-17-2025

About INNOVATIVE EXPRESS CLINIC

This page provides the complete NPI Profile along with additional information for Innovative Express Clinic, an internist established in Kissimmee, Florida operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1407306806 assigned on October 2016. The practitioner's primary taxonomy code is 207R00000X with license number ME114445 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. Innovative Express Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Innovative Express Clinic. The authorized official of this NPI record is Dr. Prashant Jani M.d. (Medical Doctor / Partner)

NPI
1407306806
Provider Legal Name
MEDICAL ASSOCIATES OF GREATER ORLANDO
Other Organization Name
INNOVATIVE EXPRESS CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3014 MICHIGAN AVE KISSIMMEE, FL 34744
Location Phone
(407) 986-0650
Location Fax
(407) 930-4632
Mailing Address
1115 N CENTRAL AVE KISSIMMEE, FL 34741
Mailing Phone
(407) 986-0650
Mailing Fax
(407) 930-4632
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2016
Last Update Date
11-02-2016
Code Navigator

An internist like Innovative Express Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
ME114445
License State
FL
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

9101079 (FL)
2363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

ARNP9214160 (FL)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. PRASHANT JANI M.D.

Authorized Official Title
MEDICAL DOCTOR / PARTNER
Authorized Official Phone
(407) 986-0650

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
10D2000043
Facility Type
Physician Office
Certificate Effective Date
November 18, 2023
Certificate Expiration Date
November 17, 2025
Laboratory Director
RAJAN KALIA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Innovative Express Clinic 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 1407306806, 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
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
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 3 → 6 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 0 + 7 + 6 + 0 + 1 + 2 + 8 + 0 + 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 1407306806.

Other Providers at the Same Location


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

Specialist
3014 MICHIGAN AVE
KISSIMMEE, FL 34744

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407306806, enumerated as an "organization" on October 10, 2016.

The provider is located at 3014 MICHIGAN AVE KISSIMMEE, FL 34744 and the phone number is (407) 986-0650.

Internal Medicine with taxonomy code 207R00000X.