DR. LALEH ARDESHIRPOUR M.D.
NPI 1508021809
Pediatrics - Pediatric Endocrinology in Farmington, CT

NPI Status: Active since July 25, 2008

Contact Information

505 FARMINGTON AVE
FARMINGTON, CT
ZIP 06032
Phone: (860) 837-6700
Fax: (860) 837-6765

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

Individual
Female
Pediatrics
Pediatric Endocrinology
PECOS Enrolled

About LALEH ARDESHIRPOUR

This page provides the complete NPI Profile along with additional information for Laleh Ardeshirpour, a pediatrician established in Farmington, Connecticut with a medical specialization in Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1508021809 assigned on July 2008. The practitioner's primary taxonomy code is 2080P0205X with license number 043051 (CT). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1508021809
Provider Name: DR. LALEH ARDESHIRPOUR M.D.
Gender: Female
Entity Type: Individual
Location Address: 505 FARMINGTON AVE FARMINGTON, CT 06032
Location Phone: (860) 837-6700
Location Fax: (860) 837-6765
Mailing Address: 60 OLD QUARRY RD WOODBRIDGE, CT 06525
Mailing Phone: (203) 506-1514
Is Sole Proprietor?: No
Enumeration Date: 07-25-2008
Last Update Date: 04-30-2024
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A pediatrician like Laleh Ardeshirpour 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 Pediatric Endocrinology
Taxonomy Code: 2080P0205X
Type: Allopathic & Osteopathic Physicians
License No.: 043051
License State: CT
Taxonomy Description: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Insurance Plans Accepted

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

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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
8002773	MEDICAID (05)	CT

Medicare Participation & PECOS Enrollment Status

Laleh Ardeshirpour 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 06032 ZIP code area.

New Patients Visit Costs *

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

Average New Patient Price $138.84
Minimum New Patient Price $60.82
Maximum New Patient Price $183.1

Average New Patient Copayment $34.71
Minimum New Patient Copayment $15.2
Maximum New Patient Copayment $45.77

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $106.68
Minimum Established Patient Price $19.76
Maximum Established Patient Price $149.26

Average Established Patient Copayment $26.67
Minimum Established Patient Copayment $4.94
Maximum Established Patient Copayment $37.31

* 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	5	0	8	0	2	1	8	0	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	0	8	0	2	2	8	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 0 + 2 + 2 + 8 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 9									9

The NPI number 1508021809 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 11 providers are registered at the same or nearby location.

DR. SUNITHA RANI SURA M.D.

Pediatrics

(Pediatric Endocrinology)

505 FARMINGTON AVE
SUITE 200 PEDIATRIC ENDOCRINOLOGY
FARMINGTON, CT
ZIP 06032

(860) 837-6700

View Profile

DR. NANCY S. DUNBAR MD

Pediatrics

(Pediatric Endocrinology)

505 FARMINGTON AVE
SECOND FLOOR
FARMINGTON, CT
ZIP 06032

(860) 837-6700

View Profile

DR. CAROLINE FIGGIE MD

Pediatrics