PIONEER VALLEY NEPHROLOGY, PC
NPI 1548206626
Internal Medicine - Nephrology in Springfield, MA
NPI Status: Active since June 20, 2006
Contact Information
300 STAFFORD ST
SUITE 161
SPRINGFIELD, MA
ZIP 01104
Phone: (413) 787-0090
Fax: (413) 787-0089
- Organization
- Internal Medicine
- Nephrology
- Accepts Insurance
About PIONEER VALLEY NEPHROLOGY, PC
This page provides the complete NPI Profile along with additional information for Pioneer Valley Nephrology, Pc, an internist established in Springfield, Massachusetts operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1548206626 assigned on June 2006. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Crystal Gillis (Billing Manager)
- NPI
- 1548206626
- Provider Name
- PIONEER VALLEY NEPHROLOGY, PC
- Entity Type
- Organization
- Location Address
- 300 STAFFORD ST SUITE 161 SPRINGFIELD, MA 01104
- Location Phone
- (413) 787-0090
- Location Fax
- (413) 787-0089
- Mailing Address
- 300 STAFFORD ST SUITE 161 SPRINGFIELD, MA 01104
- Mailing Phone
- (413) 787-0090
- Mailing Fax
- (413) 787-0089
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-20-2006
- Last Update Date
- 01-17-2014
- Code Navigator
An internist like Pioneer Valley Nephrology, Pc 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.
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
Internal Medicine Nephrology
- Taxonomy Code
- 207RN0300X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An 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.
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:
- Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/20%/8500 - 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.
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 |
|---|---|---|---|
| M17055 | OTHER (01) | MA | BCBS GROUP NUMBER |
| C02760 | MEDICARE ID-TYPE UNSPECIFIED (04) | CT | CT GROUP NUMBER |
| 003109932 | MEDICAID (05) | CT | |
| M20833 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | GROUP MEDICARE NUMBER |
| 9709312 | MEDICAID (05) | MA |
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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 1548206626, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548206626, enumerated as an "organization" on June 20, 2006.
The provider is located at 300 STAFFORD ST SUITE 161 SPRINGFIELD, MA 01104 and the phone number is (413) 787-0090.
Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
