DR. JYOTI BUDANIA MD NPI 1598750390

Pediatrics in Gainesville, FL

Individual Female Years of Experience 32 Pediatrics PECOS Enrolled Accepts Medicare Approved Payment

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 NameDR. JYOTI BUDANIA MD
Provider Location Address1600 SW ARCHER RD GAINESVILLE, FL 32610
Provider Mailing AddressPO BOX 918025 ORLANDO, FL 32891
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1991
Is Sole Proprietor?No
Enumeration Date09-18-2005
Last Update Date06-13-2011



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 Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.ME75459
License StateFL
Taxonomy DescriptionA 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

Get Directions


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 ID1052317740
PECOS Enrollment IDI20061020000359
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

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
G69701MEDICARE UPIN (02)FL
258090000MEDICAID (05)FL
U8394XMEDICARE 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.
1598750390
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251881450318
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
1669476347MS. JOAN ELLA ENGLISH PA-C
Individual
Physician Assistant1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 273-9350
1245234624DR. 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
1700883485DR. ERIC KIRK THOBURN MD
Individual
Radiology (Diagnostic Radiology)1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 265-0291
1023015823 ANTHONY P MCDONALD MD
Individual
Surgery1600 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 Registered1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 264-0077
1003809237MR. ROBERT M CLONAN CRNA
Individual
Nurse Anesthetist, Certified Registered1600 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
Anesthesiology1600 SW ARCHER RD
GAINESVILLE, FL 32610
(352) 392-3441
1215924501 MELISSA MAI VU MD
Individual
Anesthesiology1600 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
1124017017MRS. MELISSA KIMBERLY MAISENBACHER M.S.,C.G.C.
Individual
Genetic Counselor, MS1600 SW ARCHER RD UF PEDIATRIC GENETICS
GAINESVILLE, FL 32610
(352) 392-4104
1215918487DR. 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
1306828793DR. 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.