DR. JYOTI BUDANIA MD NPI 1598750390
Pediatrics in Gainesville, FL
About DR. JYOTI BUDANIA MD
Jyoti Budania is a pediatrician established in Gainesville, Florida and her medical specialization is Pediatrics with more than 32 years of experience. The NPI number of Jyoti Budania is 1598750390 and was assigned on September 2005. The practitioner's primary taxonomy code is 208000000X with license number ME75459 (FL). The provider is registered as an individual and her NPI record was last updated 11 years ago.
A pediatrician like Dr. Jyoti Budania Md 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.
| NPI | 1598750390 |
| Provider Name | DR. JYOTI BUDANIA MD |
| Provider Location Address | 1600 SW ARCHER RD GAINESVILLE, FL 32610 |
| Provider Mailing Address | PO BOX 918025 ORLANDO, FL 32891 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1991 |
| Is Sole Proprietor? | No |
| Enumeration Date | 09-18-2005 |
| Last Update Date | 06-13-2011 |
Jyoti Budania 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.
Jyoti Budania 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.
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.56 for a new patient copayment and $25.94 for an established patient copayment.
Primary Taxonomy
| Taxonomy Code | 208000000X |
| Classification | Pediatrics |
| Type | Allopathic & Osteopathic Physicians |
| License No. | ME75459 |
| License State | FL |
| Taxonomy Description | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Business Address
DR. JYOTI BUDANIA MD
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610
Phone: (352) 371-3604
Fax: (352) 371-4865
Mailing Address
DR. JYOTI BUDANIA MD
PO BOX 918025
ORLANDO, FL
ZIP 32891
Phone: (352) 371-3604
Fax: (352) 371-4865
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 ID | 1052317740 |
| PECOS Enrollment ID | I20061020000359 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 32610 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $58.4 | $178.79 | $90.24 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.6 | $44.69 | $22.56 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.74 | $145.28 | $103.76 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.43 | $36.32 | $25.94 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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 |
|---|---|---|
| G69701 | MEDICARE UPIN (02) | FL |
| 258090000 | MEDICAID (05) | FL |
| U8394X | MEDICARE PIN (08) | FL |
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 | 9 | 8 | 7 | 5 | 0 | 3 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 18 | 8 | 14 | 5 | 0 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 8 + 8 + 1 + 4 + 5 + 0 + 3 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1598750390 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 |
|---|---|---|---|
| 1669475554 | WALTER J MILTON MD Individual | Radiology (Diagnostic Radiology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-0301 |
| 1669476347 | MS. JOAN ELLA ENGLISH PA-C Individual | Physician Assistant | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 273-9350 |
| 1245234624 | DR. BRUCE K. STECHMILLER MD Individual | Internal Medicine (Hematology & Oncology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 273-7832 |
| 1174528780 | SCOTT WILLIAM PETERSON MD Individual | Radiology (Vascular & Interventional Radiology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-0290 |
| 1700883485 | DR. ERIC KIRK THOBURN MD Individual | Radiology (Diagnostic Radiology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-0291 |
| 1023015823 | ANTHONY P MCDONALD MD Individual | Surgery | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 374-6078 |
| 1164421772 | ROBERTA MOORE SLATER MD Individual | Radiology (Diagnostic Radiology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-0291 |
| 1164421764 | WEI HE ARNP Individual | Nurse Practitioner (Pediatrics) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 266-7240 |
| 1871593913 | NAM HOANG DANG MD Individual | Internal Medicine (Medical Oncology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 273-7832 |
| 1568454684 | CLAIRE ALEXANDRIA FLINT CRNA Individual | Nurse Anesthetist, Certified Registered | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 264-0077 |
| 1003809237 | MR. ROBERT M CLONAN CRNA Individual | Nurse Anesthetist, Certified Registered | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (800) 642-1999 |
| 1558356402 | MUTASIM N. ABU-HASAN MD Individual | Pediatrics (Pediatric Pulmonology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 273-8379 |
| 1669469326 | ANDRE PIERRE BOEZAART MD PHD Individual | Anesthesiology | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 392-3441 |
| 1215924501 | MELISSA MAI VU MD Individual | Anesthesiology | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (904) 953-2000 |
| 1932198819 | LILLIAN MARGARET VAN HOUTEN ARNP Individual | Nurse Practitioner (Pediatrics) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 334-1400 |
| 1124017017 | MRS. MELISSA KIMBERLY MAISENBACHER M.S.,C.G.C. Individual | Genetic Counselor, MS | 1600 SW ARCHER RD UF PEDIATRIC GENETICS GAINESVILLE, FL 32610 (352) 392-4104 |
| 1215918487 | DR. WILLIAM ALISON CUMMING M.D. Individual | Radiology (Pediatric Radiology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-0102 |
| 1871575183 | BELINDA WESLEY SELLI MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 265-9900 |
| 1306828793 | DR. SCOTT L. MYERS MD Individual | Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery) | 1600 SW ARCHER RD SUITE 3341 GAINESVILLE, FL 32610 (352) 265-5471 |
| 1053394262 | SCOTT ANDREWS RIVKEES MD Individual | Pediatrics (Pediatric Endocrinology) | 1600 SW ARCHER RD GAINESVILLE, FL 32610 (352) 273-9001 |
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. Jyoti Budania Md 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.