PEDIATRIX MEDICAL GROUP OF FLORIDA INC
NPI 1629645650
Pediatrics - Pediatric Cardiology in Lutz, FL

NPI Status: Active since June 08, 2021

Contact Information

4211 VAN DYKE RD
LUTZ, FL
ZIP 33558
Phone: (813) 443-7000
Fax: (855) 527-5510

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  • Organization
  • Pediatrics
  • Pediatric Cardiology

About PEDIATRIX MEDICAL GROUP OF FLORIDA INC

This page provides the complete NPI Profile along with additional information for Pediatrix Medical Group Of Florida Inc, a pediatrician established in Lutz, Florida operating as a Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1629645650 assigned on June 2021. The practitioner's primary taxonomy code is 2080P0202X. The provider is registered as an organization and their NPI record was last updated one year ago. Pediatrix Medical Group Of Florida Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Nicholas E Glaser (President)

NPI
1629645650
Provider Name
PEDIATRIX MEDICAL GROUP OF FLORIDA INC
Entity Type
Organization
Location Address
4211 VAN DYKE RD LUTZ, FL 33558
Location Phone
(813) 443-7000
Location Fax
(855) 527-5510
Mailing Address
1301 CONCORD TER SUNRISE, FL 33323
Mailing Phone
(800) 243-3839
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2021
Last Update Date
07-18-2025
Code Navigator

A pediatrician like Pediatrix Medical Group Of Florida Inc 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.

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

Pediatrics Pediatric Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207VM0101XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology
Maternal & Fetal Medicine

 
22080N0001XAllopathic & Osteopathic Physicians

Pediatrics
Neonatal-Perinatal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICHOLAS E GLASER

Authorized Official Title
PRESIDENT
Authorized Official Phone
(800) 243-3839

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
002741996MEDICAID (05)FL 

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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 1629645650, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
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 6 → 12 → 3 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 1 + 2 + 4 + 1 + 0 + 6 + 1 + 0 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1629645650.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
4211 VAN DYKE RD
LUTZ, FL 33558
Pediatrics
4211 VAN DYKE RD
LUTZ, FL 33558
Pediatrics
4211 VAN DYKE RD, SUITE 100
LUTZ, FL 33558
Registered Nurse (Neonatal Intensive Care)
4211 VAN DYKE RD
LUTZ, FL 33558
Internal Medicine (Cardiovascular Disease)
4211 VAN DYKE RD, SECOND FLOOR EAST, SUITE 205
LUTZ, FL 33558
Emergency Medicine
4211 VAN DYKE RD
LUTZ, FL 33558
Internal Medicine (Cardiovascular Disease)
4211 VAN DYKE RD, SUITE 205
LUTZ, FL 33558
Emergency Medicine
4211 VAN DYKE RD
LUTZ, FL 33558
Internal Medicine (Gastroenterology)
4211 VAN DYKE RD, #200
LUTZ, FL 33558
Pediatrics
4211 VAN DYKE RD, SUITE 100
LUTZ, FL 33558
Family Medicine
4211 VAN DYKE RD, SUITE 101B
LUTZ, FL 33558
Nurse Practitioner (Adult Health)
4211 VAN DYKE RD, SUITE 200
LUTZ, FL 33558
Nurse Practitioner (Neonatal)
4211 VAN DYKE RD
LUTZ, FL 33558
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
4211 VAN DYKE RD
LUTZ, FL 33558
Anesthesiologist Assistant
4211 VAN DYKE RD
LUTZ, FL 33558
Anesthesiologist Assistant
4211 VAN DYKE RD
LUTZ, FL 33558
Nurse Practitioner (Family)
4211 VAN DYKE RD
LUTZ, FL 33558
Internal Medicine (Gastroenterology)
4211 VAN DYKE RD, #200
LUTZ, FL 33558
Speech-Language Pathologist
4211 VAN DYKE RD
LUTZ, FL 33558
Anesthesiologist Assistant
4211 VAN DYKE RD
LUTZ, FL 33558

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629645650, enumerated as an "organization" on June 08, 2021.

The provider is located at 4211 VAN DYKE RD LUTZ, FL 33558 and the phone number is (813) 443-7000.

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.