LEONARD J HERTZBERG MD, PO
NPI 1619314580
Psychiatry & Neurology - Psychiatry in Baltimore, MD
NPI Status: Active since May 31, 2013
Contact Information
1314 BEDFORD AVE STE 109
BALTIMORE, MD
ZIP 21208
Phone: (410) 484-1344
Fax: (410) 415-5711
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- Opted-Out Medicare
About LEONARD HERTZBERG
This page provides the complete NPI Profile along with additional information for Leonard Hertzberg, a provider established in Baltimore, Maryland with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1619314580 assigned on May 2013. The practitioner's primary taxonomy code is 2084P0800X with license number 005317 (MD). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1619314580
- Provider Name
- LEONARD J HERTZBERG MD, PO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1314 BEDFORD AVE STE 109 BALTIMORE, MD 21208
- Location Phone
- (410) 484-1344
- Location Fax
- (410) 415-5711
- Mailing Address
- 1314 BEDFORD AVE STE 109 BALTIMORE, MD 21208
- Mailing Phone
- (410) 484-1344
- Mailing Fax
- (410) 415-5711
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-31-2013
- Last Update Date
- 05-31-2013
- Code Navigator
A psychiatrist like Leonard Hertzberg are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Leonard Hertzberg opted out of Medicare effective on 07-01-2013 until 07-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 005317
- License State
- MD
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
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.
*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 |
|---|---|---|---|
| D77726 | MEDICARE UPIN (02) | MD |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-01-2013
Opt-Out End Date: 07-01-2027
Eligible to Order and Refer? No
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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 1619314580, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619314580, enumerated as an "individual" on May 31, 2013.
The provider is located at 1314 BEDFORD AVE STE 109 BALTIMORE, MD 21208 and the phone number is (410) 484-1344.
Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
