JACKSON PEDIATRICS
NPI 1467996991
Pediatrics in Jackson, WI

NPI Status: Active since December 19, 2016

Contact Information

N168W22730 PRAIRIE VIEW LANE
JACKSON, WI
ZIP 53037
Phone: (262) 423-4800
Fax: (262) 423-4899

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  • Organization
  • Pediatrics
  • Accepts Insurance

About JACKSON PEDIATRICS

This page provides the complete NPI Profile along with additional information for Jackson Pediatrics, a pediatrician established in Jackson, Wisconsin operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1467996991 assigned on December 2016. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Jackson Pediatrics. The authorized official of this NPI record is Smriti Khare M.d. (President Children's Medical Group)

NPI
1467996991
Provider Legal Name
CHILDREN'S MEDICAL GROUP
Other Organization Name
JACKSON PEDIATRICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
N168W22730 PRAIRIE VIEW LANE JACKSON, WI 53037
Location Phone
(262) 423-4800
Location Fax
(262) 423-4899
Mailing Address
9000 W WISCONSIN AVE MAIL STATION 958 MILWAUKEE, WI 53226
Mailing Phone
(414) 266-7615
Mailing Fax
(262) 423-4899
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-19-2016
Last Update Date
12-22-2016
Code Navigator

A pediatrician like Jackson Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - 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

SMRITI KHARE M.D.

Authorized Official Title
PRESIDENT CHILDREN'S MEDICAL GROUP
Authorized Official Phone
(414) 266-7615

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
1467996991MEDICAID (05)WI 

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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.
1467996991
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2412718912918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 8 + 9 + 1 + 2 + 9 + 1 + 8 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1467996991 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467996991, enumerated as an "organization" on December 19, 2016.

The provider is located at N168W22730 PRAIRIE VIEW LANE JACKSON, WI 53037 and the phone number is (262) 423-4800.

Pediatrics with taxonomy code 208000000X.

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