MARK A. NOWACKI MD PA
NPI 1427440213
Preferred Provider Organization in Saint Petersburg, FL

NPI Status: Active since March 03, 2015

Contact Information

7011 1ST AVE S
SAINT PETERSBURG, FL
ZIP 33707
Phone: (727) 347-4158
Fax: (727) 345-2260

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  • Organization
  • Preferred Provider Organization
  • Accepts Insurance
  • CLIA Number: 10D0956150
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-20-2027

About MARK A. NOWACKI MD PA

This page provides the complete NPI Profile along with additional information for Mark A. Nowacki Md Pa, a provider established in Saint Petersburg, Florida operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1427440213 assigned on March 2015. The practitioner's primary taxonomy code is 305R00000X with license number ME60591 (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Mark A Nowacki M.d (Physician)

NPI
1427440213
Provider Name
MARK A. NOWACKI MD PA
Entity Type
Organization
Location Address
7011 1ST AVE S SAINT PETERSBURG, FL 33707
Location Phone
(727) 347-4158
Location Fax
(727) 345-2260
Mailing Address
7011 1ST AVE S SAINT PETERSBURG, FL 33707
Mailing Phone
(727) 347-4158
Mailing Fax
(727) 345-2260
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2015
Last Update Date
04-04-2024
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
ME60591
License State
FL
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Insurance Plans Accepted

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

  • Molina Bronze Enhanced 3500 - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision - HMO
  • Molina Bronze Standard - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Enhanced 895 - HMO
  • Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
  • Molina Gold Enhanced 895 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Access - HMO
  • Molina Silver Access Plus with Adult Dental and Vision - HMO
  • Molina Silver Access Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO

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

DR. MARK A NOWACKI M.D

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(727) 347-4158

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
372504900MEDICAID (05)FL 

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
10D0956150
Facility Type
Physician Office
Certificate Effective Date
January 21, 2025
Certificate Expiration Date
January 20, 2027
Laboratory Director
MARK A. NOWACKI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mark A. Nowacki Md Pa 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.

Reviews for MARK A. NOWACKI MD PA

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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 1427440213, 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
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
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 2 → 4 4 → 8 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 + 4 + 4 + 7 + 8 + 4 + 0 + 2 + 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 1427440213.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
7011 1ST AVE S
ST PETERSBURG, FL 33707
Internal Medicine
7011 1ST AVE S
SAINT PETERSBURG, FL 33707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427440213, enumerated as an "organization" on March 03, 2015.

The provider is located at 7011 1ST AVE S SAINT PETERSBURG, FL 33707 and the phone number is (727) 347-4158.

Preferred Provider Organization with taxonomy code 305R00000X.

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