DR. VISHAL S DOCTOR MD
NPI 1437133741
Otolaryngology in Travis Afb, CA

NPI Status: Active since November 30, 2005

Contact Information

101 BODIN CIR
OTOLARYNGOLOGY-SGCXA
TRAVIS AFB, CA
ZIP 94535
Phone: (707) 423-7166

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Otolaryngology
PECOS Enrolled

About VISHAL DOCTOR

This page provides the complete NPI Profile along with additional information for Vishal Doctor, a provider established in Travis Afb, California with a medical specialization in Otolaryngology. The healthcare provider is registered in the NPI registry with number 1437133741 assigned on November 2005. The practitioner's primary taxonomy code is 207Y00000X with license number A84162 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI: 1437133741
Provider Name: DR. VISHAL S DOCTOR MD
Gender: Male
Entity Type: Individual
Location Address: 101 BODIN CIR OTOLARYNGOLOGY-SGCXA TRAVIS AFB, CA 94535
Location Phone: (707) 423-7166
Mailing Address: 2025 MORSE AVE SACRAMENTO, CA 95825
Is Sole Proprietor?: Yes
Enumeration Date: 11-30-2005
Last Update Date: 02-11-2022
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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: Otolaryngology
Taxonomy Code: 207Y00000X
Type: Allopathic & Osteopathic Physicians
License No.: A84162
License State: CA
Taxonomy Description: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Medicare Participation & PECOS Enrollment Status

Vishal Doctor 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 94535 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $145.83
Minimum New Patient Price $65.02
Maximum New Patient Price $191.95

Average New Patient Copayment $36.45
Minimum New Patient Copayment $16.25
Maximum New Patient Copayment $47.98

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $80.24
Minimum Established Patient Price $21.86
Maximum Established Patient Price $157.69

Average Established Patient Copayment $20.06
Minimum Established Patient Copayment $5.46
Maximum Established Patient Copayment $39.42

* 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.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	3	7	1	3	3	7	4	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	6	7	2	3	6	7	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 2 + 3 + 6 + 7 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1									1

The NPI number 1437133741 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

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

DR. CONSTANCE ANN HUFF D.D.S.

Dentist

(Pediatric Dentistry)

101 BODIN CIR
DAVID GRANT MEDICAL CENTER / 60TH DENTAL SQUADRON
TRAVIS AFB, CA
ZIP 94535

About VISHAL DOCTOR

Location Map

Specialty - Primary Taxonomy

Otolaryngology

Medicare Participation & PECOS Enrollment Status

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

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for DR. VISHAL S DOCTOR MD

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

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