RONALD A HIGGINS M.D.
NPI 1457355331
Specialist in Kansas City, MO

NPI Status: Active since June 09, 2005

Contact Information

1010 CARONDELET DR
STE 125
KANSAS CITY, MO
ZIP 64114
Phone: (816) 942-1150
Fax: (816) 942-0322

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  • Individual
  • Male
  • Specialist
  • PECOS Enrolled

About RONALD HIGGINS

This page provides the complete NPI Profile along with additional information for Ronald Higgins, a provider established in Kansas City, Missouri with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1457355331 assigned on June 2005. The practitioner's primary taxonomy code is 174400000X with license number 30187 (MO). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1457355331
Provider Name
RONALD A HIGGINS M.D.
Gender
Male
Entity Type
Individual
Location Address
1010 CARONDELET DR STE 125 KANSAS CITY, MO 64114
Location Phone
(816) 942-1150
Location Fax
(816) 942-0322
Mailing Address
11420 CANTERBURY CIR LEAWOOD, KS 66211
Mailing Phone
(913) 491-3850
Is Sole Proprietor?
No
Enumeration Date
06-09-2005
Last Update Date
09-19-2011
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
30187
License State
MO
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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
C50047MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Ronald Higgins 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

Reviews for RONALD A HIGGINS M.D.

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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 1457355331, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
1
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 5 → 10 → 1 3 → 6 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 6 + 5 + 1 + 0 + 3 + 6 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1457355331.

Other Providers at the Same Location


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

Internal Medicine (Infectious Disease)
1010 CARONDELET DR, SUITE 329
KANSAS CITY, MO 64114
Surgery
1010 CARONDELET DR, SUITE 321
KANSAS CITY, MO 64114
Ophthalmology
1010 CARONDELET DR, SUITE 340
KANSAS CITY, MO 64114
Obstetrics & Gynecology
1010 CARONDELET DR, STE 328
KANSAS CITY, MO 64114
Obstetrics & Gynecology
1010 CARONDELET DR, STE 328
KANSAS CITY, MO 64114
Obstetrics & Gynecology
1010 CARONDELET DR, STE 328
KANSAS CITY, MO 64114
Psychiatry & Neurology (Psychiatry)
1010 CARONDELET DR, SUITE 405
KANSAS CITY, MO 64114
Counselor (Professional)
1010 CARONDELET DR, SUITE 412
KANSAS CITY, MO 64114
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
1010 CARONDELET DR, STE 220
KANSAS CITY, MO 64114
Family Medicine
1010 CARONDELET DR, SUITE # 220
KANSAS CITY, MO 64114
Internal Medicine
1010 CARONDELET DR, STE 220
KANSAS CITY, MO 64114
Family Medicine
1010 CARONDELET DR, STE 220
KANSAS CITY, MO 64114
Social Worker (Clinical)
1010 CARONDELET DR, SUITE 412
KANSAS CITY, MO 64114
Internal Medicine
1010 CARONDELET DR, STE 220
KANSAS CITY, MO 64114
Family Medicine
1010 CARONDELET DR, SUITE #220
KANSAS CITY, MO 64114
Family Medicine
1010 CARONDELET DR, SUITE #220
KANSAS CITY, MO 64114
Family Medicine
1010 CARONDELET DR, SUITE #220
KANSAS CITY, MO 64114
Specialist
1010 CARONDELET DR, SUITE 401
KANSAS CITY, MO 64114
Ophthalmology
1010 CARONDELET DR, SUITE 103
KANSAS CITY, MO 64114
Ophthalmology
1010 CARONDELET DR, SUITE 103
KANSAS CITY, MO 64114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457355331, enumerated as an "individual" on June 09, 2005.

The provider is located at 1010 CARONDELET DR STE 125 KANSAS CITY, MO 64114 and the phone number is (816) 942-1150.

Specialist with taxonomy code 174400000X.

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