MS. TONI MARIIA BURROUGHS
NPI 1467637694
Exclusive Provider Organization in Austin, TX

NPI Status: Active since January 07, 2008

Contact Information

5405 HARVEST LN
AUSTIN, TX
ZIP 78745
Phone: (512) 733-3869
Fax: (512) 916-1601

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  • Individual
  • Female
  • Exclusive Provider Organization

About TONI BURROUGHS

This page provides the complete NPI Profile along with additional information for Toni Burroughs, a provider established in Austin, Texas with a medical specialization in Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1467637694 assigned on January 2008. The practitioner's primary taxonomy code is 302F00000X. The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1467637694
Provider Name
MS. TONI MARIIA BURROUGHS
Gender
Female
Entity Type
Individual
Location Address
5405 HARVEST LN AUSTIN, TX 78745
Location Phone
(512) 733-3869
Location Fax
(512) 916-1601
Mailing Address
5405 HARVEST LN AUSTIN, TX 78745
Mailing Phone
(512) 733-3869
Mailing Fax
(512) 916-1601
Is Sole Proprietor?
Yes
Enumeration Date
01-07-2008
Last Update Date
01-07-2008
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

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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 1467637694, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
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 6 → 12 → 3 6 → 12 → 3 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 2 + 7 + 1 + 2 + 3 + 1 + 4 + 6 + 1 + 8 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1467637694.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467637694, enumerated as an "individual" on January 07, 2008.

The provider is located at 5405 HARVEST LN AUSTIN, TX 78745 and the phone number is (512) 733-3869.

Exclusive Provider Organization with taxonomy code 302F00000X.