PALM BEACH PEDIATRIC UROLOGY
NPI 1598739831
Urology in Boynton Beach, FL

NPI Status: Active since February 14, 2006

Contact Information

10301 HAGEN RANCH RD
SUITE C130
BOYNTON BEACH, FL
ZIP 33437
Phone: (561) 736-7313
Fax: (561) 736-2309

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  • Organization
  • Urology
  • CLIA Number: 10D2090711
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-28-2027

About PALM BEACH PEDIATRIC UROLOGY

This page provides the complete NPI Profile along with additional information for Palm Beach Pediatric Urology, a provider established in Boynton Beach, Florida operating as a Urology. The healthcare provider is registered in the NPI registry with number 1598739831 assigned on February 2006. The practitioner's primary taxonomy code is 208800000X with license number ME599337 (FL). The provider is registered as an organization and their NPI record was last updated 13 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 Dr. Charles E Flack M.d. (President)

NPI
1598739831
Provider Name
PALM BEACH PEDIATRIC UROLOGY
Entity Type
Organization
Location Address
10301 HAGEN RANCH RD SUITE C130 BOYNTON BEACH, FL 33437
Location Phone
(561) 736-7313
Location Fax
(561) 736-2309
Mailing Address
10301 HAGEN RANCH RD SUITE C130 BOYNTON BEACH, FL 33437
Mailing Phone
(561) 736-7313
Mailing Fax
(561) 736-2309
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2006
Last Update Date
10-22-2013
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
ME599337
License State
FL
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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:

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.

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.

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

DR. CHARLES E FLACK M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(561) 512-0614

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
103690OTHER (01)FLAVMED
2032607OTHER (01)FLAETNA HMO
204200OTHER (01)FLAMERIGROUP
5962OTHER (01)FLNHP
272189900MEDICAID (05)FL 
26943OTHER (01)FLWELLCARE
4611456OTHER (01)FLAETNA NON-HMO
12475OTHER (01)FLBCBS
1755943OTHER (01)FLCIGNA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2090711
Facility Type
Physician Office
Certificate Effective Date
January 29, 2025
Certificate Expiration Date
January 28, 2027
Laboratory Director
ANDRONIKI KANAROGLOU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Palm Beach Pediatric Urology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PALM BEACH PEDIATRIC UROLOGY

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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 1598739831, we treat the final digit (1) 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 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 7 → 14 → 5 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 8 + 8 + 1 + 4 + 3 + 1 + 8 + 8 + 6 + 24 = 79

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1598739831.

Other Providers at the Same Location


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

Internal Medicine (Cardiovascular Disease)
10301 HAGEN RANCH RD, SUITE B-5
BOYNTON BEACH, FL 33437
Internal Medicine (Cardiovascular Disease)
10301 HAGEN RANCH RD, SUITE B 550
BOYNTON BEACH, FL 33437
Radiology (Diagnostic Radiology)
10301 HAGEN RANCH RD
BOYNTON BEACH, FL 33437
Specialist
10301 HAGEN RANCH RD, SUITE 730
BOYNTON BEACH, FL 33437
Internal Medicine (Hematology & Oncology)
10301 HAGEN RANCH RD, SUITE # 600
BOYNTON BEACH, FL 33437
Clinic/Center (Medical Specialty)
10301 HAGEN RANCH RD, B-740
BOYNTON BEACH, FL 33437
Internal Medicine (Geriatric Medicine)
10301 HAGEN RANCH RD, SUITE B-550
BOYNTON BEACH, FL 33437
Internal Medicine (Cardiovascular Disease)
10301 HAGEN RANCH RD, B 550
BOYNTON BEACH, FL 33437
Physical Medicine & Rehabilitation
10301 HAGEN RANCH RD, SUITE 3
BOYNTON BEACH, FL 33437
Internal Medicine (Cardiovascular Disease)
10301 HAGEN RANCH RD, SUITE B4
BOYNTON BEACH, FL 33437
Dentist
10301 HAGEN RANCH RD, SUITE C140
BOYNTON BEACH, FL 33437
Physician Assistant
10301 HAGEN RANCH RD
BOYNTON BEACH, FL 33437
Psychiatry & Neurology (Geriatric Psychiatry)
10301 HAGEN RANCH RD, SUITE 7
BOYNTON BEACH, FL 33437
Clinic/Center (Medical Specialty)
10301 HAGEN RANCH RD, SUITE 6
BOYNTON BEACH, FL 33437
Nurse Practitioner (Family)
10301 HAGEN RANCH RD, STE C130
BOYNTON BEACH, FL 33437
Nurse Practitioner (Family)
10301 HAGEN RANCH RD, SUITE A920
BOYNTON BEACH, FL 33437
Pediatrics
10301 HAGEN RANCH RD, BLDG A, SUITE 760
BOYNTON BEACH, FL 33437
Pediatrics
10301 HAGEN RANCH RD, BLDG A., SUITE 760
BOYNTON BEACH, FL 33437
Physician Assistant
10301 HAGEN RANCH RD
BOYNTON BEACH, FL 33437
Obstetrics & Gynecology (Obstetrics)
10301 HAGEN RANCH RD, SUITE 6
BOYNTON BEACH, FL 33437

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598739831, enumerated as an "organization" on February 14, 2006.

The provider is located at 10301 HAGEN RANCH RD SUITE C130 BOYNTON BEACH, FL 33437 and the phone number is (561) 736-7313.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Medicare, Medicaid, Aetna, Amerigroup, Wellcare,. Please consult your insurance carrier or call the provider to verify.