JOSEPH DANIEL ORIE M.D.
NPI 1629134721
Pediatrics - Pediatric Cardiology in Buffalo, NY

NPI Status: Active since December 31, 2006

Contact Information

936 DELAWARE AVE
SUITE 100
BUFFALO, NY
ZIP 14209
Phone: (716) 885-5437

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  • Individual
  • Male
  • Years of Experience 39
  • Pediatrics
  • Pediatric Cardiology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JOSEPH ORIE

This page provides the complete NPI Profile along with additional information for Joseph Orie, a pediatrician established in Buffalo, New York with a medical specialization in Pediatrics, focusing in pediatric cardiology and more than 39 years of experience. He graduated from Georgetown University School Of Medicine in 1988. The healthcare provider is registered in the NPI registry with number 1629134721 assigned on December 2006. The practitioner's primary taxonomy code is 2080P0202X with license number 197068 (NY). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1629134721
Provider Name
JOSEPH DANIEL ORIE M.D.
Gender
Male
Entity Type
Individual
Location Address
936 DELAWARE AVE SUITE 100 BUFFALO, NY 14209
Location Phone
(716) 885-5437
Mailing Address
936 DELAWARE AVE SUITE 100 BUFFALO, NY 14209
Mailing Phone
(716) 885-5437
Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1988
Is Sole Proprietor?
No
Enumeration Date
12-31-2006
Last Update Date
08-30-2010
Code Navigator

A pediatrician like Joseph Orie 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.

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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

Pediatrics Pediatric Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
License No.
197068
License State
NY
Taxonomy Description
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

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
10109490OTHER (01)NYFIDELIS
5306318OTHER (01)NYINDEPENDENT HEALTH
01524625MEDICAID (05)NY 
00010131404OTHER (01)NYUNIVERA
G07403MEDICARE ID-TYPE UNSPECIFIED (04)NYMEDICARE
000523418006OTHER (01)NYCOMMUNITY BLUE

Medicare Participation & PECOS Enrollment Status

Joseph Orie is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Joseph Orie 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.

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.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6103800776

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040623000070, I20220630001142

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 33 times for 32 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

This service was performed 31 times for 28 patients

Ultrasound of heart blood flow, valves and chambers

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

This service was performed 22 times for 22 patients

Ultrasound of heart for congenital defect

An ultrasound of the heart, also known as an echocardiogram, is a test that uses sound waves to create pictures of your heart. This test can help doctors identify any congenital heart defects, which are heart conditions present at birth. It's a safe, non-invasive procedure.

This service was performed 22 times for 22 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

This service was performed 22 times for 22 patients

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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 1629134721, 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 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
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
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 2 → 4 1 → 2 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 2 + 3 + 8 + 7 + 4 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1629134721.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
936 DELAWARE AVE
BUFFALO, NY 14209
Pediatrics (Pediatric Cardiology)
936 DELAWARE AVE, SUITE 100
BUFFALO, NY 14209
Dentist
936 DELAWARE AVE, SUITE 405
BUFFALO, NY 14209
Physical Therapist
936 DELAWARE AVE
BUFFALO, NY 14209
Pediatrics (Pediatric Cardiology)
936 DELAWARE AVE, SUITE 100
BUFFALO, NY 14209
Pediatrics (Pediatric Cardiology)
936 DELAWARE AVE
BUFFALO, NY 14209
Pediatrics (Pediatric Cardiology)
936 DELAWARE AVE, SUITE 100
BUFFALO, NY 14209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629134721, enumerated as an "individual" on December 31, 2006.

The provider is located at 936 DELAWARE AVE SUITE 100 BUFFALO, NY 14209 and the phone number is (716) 885-5437.

Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.

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