QUANTUM HOSPITAL MEDICINE SERVICES OF TEXAS PA
NPI 1568613024
Hospitalist in Port Arthur, TX
NPI Status: Active since October 02, 2008
Contact Information
3600 GATES BLVD
PORT ARTHUR, TX
ZIP 77642
Phone: (409) 985-7431
- Organization
- Hospitalist
- Accepts Insurance
About QUANTUM HOSPITAL MEDICINE SERVICES OF TEXAS PA
This page provides the complete NPI Profile along with additional information for Quantum Hospital Medicine Services Of Texas Pa, a provider established in Port Arthur, Texas operating as a Hospitalist. The healthcare provider is registered in the NPI registry with number 1568613024 assigned on October 2008. The practitioner's primary taxonomy code is 208M00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Quantum Hospital Medicine Services Of Texas Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Mary H Merkle Md (President)
- NPI
- 1568613024
- Provider Name
- QUANTUM HOSPITAL MEDICINE SERVICES OF TEXAS PA
- Entity Type
- Organization
- Location Address
- 3600 GATES BLVD PORT ARTHUR, TX 77642
- Location Phone
- (409) 985-7431
- Mailing Address
- 1643 NW 136TH AVE STE 100 SUNRISE, FL 33323
- Mailing Phone
- (800) 424-3672
- Mailing Fax
- (954) 377-3042
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-02-2008
- Last Update Date
- 10-12-2020
- Code Navigator
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
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - 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 |
|---|---|---|---|
| 0059SA | OTHER (01) | TX | BCBS |
| 201282501 | MEDICAID (05) | TX |
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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 1568613024, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
PORT ARTHUR, TX 77642
PORT ARTHUR, TX 77642
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568613024, enumerated as an "organization" on October 02, 2008.
The provider is located at 3600 GATES BLVD PORT ARTHUR, TX 77642 and the phone number is (409) 985-7431.
Hospitalist with taxonomy code 208M00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Blue Cross. Please consult your insurance carrier or call the provider to verify.
