DR. APURVA MAKADIYA M.D.,MBBS.
NPI 1467681239
Psychiatry & Neurology - Psychiatry in Frederick, MD
NPI Status: Active since July 14, 2009
Contact Information
7101 GUILFORD DR
SUITE 100
FREDERICK, MD
ZIP 21704
Phone: (240) 464-8000
Fax: (240) 383-3439
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
- PECOS Enrolled
About APURVA MAKADIYA
This page provides the complete NPI Profile along with additional information for Apurva Makadiya, a provider established in Frederick, Maryland with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1467681239 assigned on July 2009. The practitioner's primary taxonomy code is 2084P0800X with license number D76172 (MD). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1467681239
- Provider Name
- DR. APURVA MAKADIYA M.D.,MBBS.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7101 GUILFORD DR SUITE 100 FREDERICK, MD 21704
- Location Phone
- (240) 464-8000
- Location Fax
- (240) 383-3439
- Mailing Address
- 7101 GUILFORD DR SUITE 100 FREDERICK, MD 21704
- Mailing Phone
- (240) 464-8000
- Mailing Fax
- (240) 383-3439
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-14-2009
- Last Update Date
- 09-30-2013
- Code Navigator
A psychiatrist like Apurva Makadiya are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
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
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D76172
- License State
- MD
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
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 |
|---|---|---|---|
| D76172 | OTHER (01) | MD | MARYLAND BOARD OF PHYSICIANS |
Medicare Participation & PECOS Enrollment Status
Apurva Makadiya 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 21704 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $175.57
- Minimum New Patient Price $57.99
- Maximum New Patient Price $175.57
- Average New Patient Copayment $43.89
- Minimum New Patient Copayment $14.49
- Maximum New Patient Copayment $43.89
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.23
- Minimum Established Patient Price $18.66
- Maximum Established Patient Price $143.02
- Average Established Patient Copayment $18.05
- Minimum Established Patient Copayment $4.66
- Maximum Established Patient Copayment $35.75
* 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.
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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 1467681239, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
FREDERICK, MD 21704
FREDERICK, MD 21704
FREDERICK, MD 21704
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467681239, enumerated as an "individual" on July 14, 2009.
The provider is located at 7101 GUILFORD DR SUITE 100 FREDERICK, MD 21704 and the phone number is (240) 464-8000.
Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.
The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
