DR. VINCENT STEVEN AVILA M.D. NPI 1518965110

Internal Medicine - Nephrology in Mineola, NY

Individual Male Years of Experience 38 Internal Medicine Nephrology PECOS Enrolled Accepts Medicare Approved Payment

About DR. VINCENT STEVEN AVILA M.D.

Vincent Avila is an internist established in Mineola, New York and his medical specialization is Internal Medicine with a focus in nephrology with more than 38 years of experience. He graduated from State University Of New York Downstate Medical Center in 1985. The NPI number of Vincent Avila is 1518965110 and was assigned on July 2005. The practitioner's primary taxonomy code is 207RN0300X with license number 169989 (NY). The provider is registered as an individual and his NPI record was last updated 10 years ago.

An internist like Dr. Vincent Steven Avila M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

NPI

1518965110

Provider NameDR. VINCENT STEVEN AVILA M.D.
Provider Location Address300 OLD COUNTRY RD SUITE 111 MINEOLA, NY 11501
Provider Mailing Address300 OLD COUNTRY RD SUITE 111 MINEOLA, NY 11501
GenderMale
NPI Entity TypeIndividual
Medical School NameSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year1985
Is Sole Proprietor?No
Enumeration Date07-08-2005
Last Update Date12-19-2012



Vincent Avila 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.

Vincent Avila is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.



Primary Taxonomy

Taxonomy Code207RN0300X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.169989
License StateNY
Taxonomy DescriptionAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Business Address

DR. VINCENT STEVEN AVILA M.D.
300 OLD COUNTRY RD
SUITE 111
MINEOLA, NY
ZIP 11501
Phone: (516) 745-0500
Fax: (516) 745-1534

Get Directions


Mailing Address

DR. VINCENT STEVEN AVILA M.D.
300 OLD COUNTRY RD
SUITE 111
MINEOLA, NY
ZIP 11501
Phone: (516) 745-0500
Fax: (516) 745-1534


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7911909718
PECOS Enrollment IDI20100505000317
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 305Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • 114Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine169989NYNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
E62545MEDICARE UPIN (02)NY
01835703MEDICAID (05)NY

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.
1518965110
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25281861012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 8 + 6 + 1 + 0 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1518965110 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1124026505DR. ROBERT J NEJAT M.D.
Individual
Urology300 OLD COUNTRY RD SUITE 211
MINEOLA, NY 11501
(516) 741-2255
1679560692DR. STEVEN JAY RAVICH MD
Individual
Orthopaedic Surgery300 OLD COUNTRY RD SUITE 151
MINEOLA, NY 11501
(516) 747-5700
1275598575 HUE T. LY M.D.
Individual
Internal Medicine300 OLD COUNTRY RD SUITE 31
MINEOLA, NY 11501
(516) 294-9380
1578516563QUEENS NASSAU NEPHROLOGY SERVICES, P.C.
Organization
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1699861237DR. MICHAEL PETELIS DO
Individual
Family Medicine300 OLD COUNTRY RD SUITE 211
MINEOLA, NY 11501
(516) 280-2599
1306922786DR. R. PHILLIP COLON PH.D.
Individual
Psychologist (Clinical)300 OLD COUNTRY RD SUITE 91
MINEOLA, NY 11501
(516) 294-8914
1780715508MS. IRENE HAJISAVA L.C.S.W.
Individual
Social Worker (Clinical)300 OLD COUNTRY RD SUITE 91
MINEOLA, NY 11501
(516) 294-0411
1841415726 ALLISON ELISE DUBNER PHD
Individual
Psychologist300 OLD COUNTRY RD SUITE 251
MINEOLA, NY 11501
(516) 779-0527
1689894685 IRA J SPECTOR MD
Individual
Obstetrics & Gynecology (Gynecology)300 OLD COUNTRY RD
MINEOLA, NY 11501
(516) 747-4404
1013137017 STEVEN A KLEIN MD
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)300 OLD COUNTRY RD
MINEOLA, NY 11501
(516) 747-4404
1588872113NASSAU SPORTS PHYSICAL THERAPY
Organization
Specialist300 OLD COUNTRY RD SUITE 191
MINEOLA, NY 11501
(516) 747-5050
1659516284SAMUEL KENAN,MD.,P.C
Organization
Specialist300 OLD COUNTRY RD SUITE221
MINEOLA, NY 11501
(516) 280-3733
1972839546 JEAN RUVEL MA, RD, CDE, CDN
Individual
Dietitian, Registered300 OLD COUNTRY RD SUITE 202
MINEOLA, NY 11501
(516) 747-4616
1548566342NORTH SHORE RETINA PHYSICIAN, PLLC
Organization
Ophthalmology300 OLD COUNTRY RD SUITE GL 51
MINEOLA, NY 11501
(516) 729-8515
1114925708DR. BINNY KOSHY M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1356349922DR. ANDREY GONCHARUK M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1871591453DR. MARIO MAROTTA M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1598763187DR. YELENA ROSENBERG M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1801831763 EDUARD BOVER D.O.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1992703490DR. CHRISTOPHER CAPUTO M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Vincent Steven Avila M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.