DR. LUTHER STREET M.D. NPI 1629078506
Pediatrics in Harker Heights, TX
NPI Profile for DR. LUTHER STREET M.D.
Luther Street is a pediatrician established in Harker Heights, Texas and his medical specialization is pediatrics. The NPI number of Luther Street is 1629078506 and was assigned on July 2005. The practitioner's primary taxonomy code is 208000000X with license number E3470 (TX). The provider is registered as an individual and his NPI record was last updated 10 years ago.
A pediatrician like Dr. Luther Street M.d. 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.
Luther Street is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
| NPI | 1629078506 |
| Provider Name | DR. LUTHER STREET M.D. |
| Provider Location Address | 200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548 |
| Provider Mailing Address | 200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 07-21-2005 |
| Last Update Date | 04-18-2012 |
Primary Taxonomy
| Taxonomy Code | 208000000X |
| Classification | Pediatrics |
| Type | Allopathic & Osteopathic Physicians |
| License No. | E3470 |
| License State | TX |
| 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. LUTHER STREET M.D.
200 NOLA RUTH BLVD
HARKER HEIGHTS, TX
ZIP 76548
Phone: (254) 698-6629
Fax: (254) 698-1673
Mailing Address
DR. LUTHER STREET M.D.
200 NOLA RUTH BLVD
HARKER HEIGHTS, TX
ZIP 76548
Phone: (254) 698-6629
Fax: (254) 698-1673
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 |
|---|---|---|
| 85X730 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX |
| C22354 | MEDICARE UPIN (02) | TX |
| 136390502 | MEDICAID (05) | TX |
NPI Validation Check Digit Calculation
The following table explains step by step the 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 | 6 | 2 | 9 | 0 | 7 | 8 | 5 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 0 | 7 | 16 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 0 + 7 + 1 + 6 + 5 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1629078506 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235139056 | DR. RAY MONROE JOHNSON M.D. Individual | Pediatrics | 200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548 (254) 698-6628 |
| 1053481390 | DENISE MARIE DHAWAN M.D. Individual | Pediatrics (Adolescent Medicine) | 200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548 (254) 698-6629 |
| 1386607992 | MARK ERIC TERWILLIGER CPNP Individual | Nurse Practitioner (Pediatrics) | 200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548 (877) 800-5722 |
| 1942665427 | RUBI RAMIREZ PNP-PC Individual | Nurse Practitioner (Pediatrics) | 200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548 (877) 800-5722 |
| 1609008655 | KAREN M LAIRD FNP-C Individual | Nurse Practitioner (Family) | 200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548 (877) 800-5722 |
| 1710284542 | LONE STAR CIRCLE OF CARE Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548 (877) 800-5722 |
| 1639121072 | MURALI VATHADA MD Individual | Pediatrics | 200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548 (877) 800-5722 |
| 1417095639 | FAMILY & CHILDREN'S CLINIC, PA Organization | Pediatrics | 200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548 (254) 698-6629 |
| 1356359814 | YASMEEN ALI MD Individual | Pediatrics | 200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548 (877) 800-5722 |
| 1457901639 | MRS. CARLA DAVIS APRN Individual | Nurse Practitioner (Pediatrics) | 200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548 (877) 800-5722 |
| 1013171412 | DR. EZHILARASI MANICKAVASAGAM M.D Individual | Pediatrics | 200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548 (877) 800-5722 |
| 1700101359 | KOFOWOROLA OHIOMOBA Individual | Pediatrics | 200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548 (877) 800-5722 |
| 1851822787 | MYRIAM ANDREA GARLAND Individual | General Practice | 200 NOLA RUTH BLVD HARKER HEIGHTS, TX 76548 (877) 800-5722 |
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. Luther Street M.d. 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.