DR. HUMBERTO R DELGADO M.D.
NPI 1639161490
Internal Medicine - Pulmonary Disease in Leesburg, FL
NPI Status: Active since August 18, 2005
Contact Information
501 MEDICAL PLAZA DR
SUITE 102
LEESBURG, FL
ZIP 34748
Phone: (352) 728-0709
Fax: (352) 728-6460
- Individual
- Male
- Internal Medicine
- Pulmonary Disease
- PECOS Enrolled
About HUMBERTO DELGADO
This page provides the complete NPI Profile along with additional information for Humberto Delgado, an internist established in Leesburg, Florida with a medical specialization in Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1639161490 assigned on August 2005. The practitioner's primary taxonomy code is 207RP1001X with license number ME0041828 (FL). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1639161490
- Provider Name
- DR. HUMBERTO R DELGADO M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 501 MEDICAL PLAZA DR SUITE 102 LEESBURG, FL 34748
- Location Phone
- (352) 728-0709
- Location Fax
- (352) 728-6460
- Mailing Address
- 501 MEDICAL PLAZA DR SUITE 102 LEESBURG, FL 34748
- Mailing Phone
- (352) 728-0709
- Mailing Fax
- (352) 728-6460
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-18-2005
- Last Update Date
- 03-21-2013
- Code Navigator
An internist like Humberto Delgado is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine Pulmonary Disease
- Taxonomy Code
- 207RP1001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME0041828
- License State
- FL
- Taxonomy Description
- An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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.
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 |
|---|---|---|---|
| K0026 | OTHER (01) | FL | GROUP NUMBER |
| 036097000 | MEDICAID (05) | FL | |
| D85632 | MEDICARE UPIN (02) | FL | |
| 35202Z | MEDICARE PIN (08) | FL | |
| 21618 | OTHER (01) | FL | BLUE SHIELD |
| 253650100 | MEDICAID (05) | FL |
Medicare Participation & PECOS Enrollment Status
Humberto Delgado 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
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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)
1 DME suppliers used 49 Medicare Claims 49 Services Paid
DME-Other DME (DE001N)
Full face mask used with positive airway pressure device, each (HCPCS:A7030)
2 DME suppliers used 25 Medicare Claims 25 Services Paid
DME-Other DME (DE001N)
Face mask interface, replacement for full face mask, each (HCPCS:A7031)
2 DME suppliers used 33 Medicare Claims 96 Services Paid
DME-Other DME (DE001N)
Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)
4 DME suppliers used 70 Medicare Claims 404 Services Paid
DME-Other DME (DE001N)
Pillow for use on nasal cannula type interface, replacement only, pair (HCPCS:A7033)
2 DME suppliers used 30 Medicare Claims 179 Services Paid
DME-Other DME (DE001N)
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)
4 DME suppliers used 110 Medicare Claims 110 Services Paid
DME-Other DME (DE001N)
Headgear used with positive airway pressure device (HCPCS:A7035)
4 DME suppliers used 64 Medicare Claims 64 Services Paid
DME-Other DME (DE001N)
Tubing used with positive airway pressure device (HCPCS:A7037)
3 DME suppliers used 60 Medicare Claims 60 Services Paid
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
4 DME suppliers used 80 Medicare Claims 466 Services Paid
DME-Other DME (DE001N)
Filter, non disposable, used with positive airway pressure device (HCPCS:A7039)
2 DME suppliers used 14 Medicare Claims 14 Services Paid
DME-Other DME (DE001N)
Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)
2 DME suppliers used 48 Medicare Claims 48 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 34748 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $130.04
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $32.51
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.16
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $24.79
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 6 | 1 | 4 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 6 | 2 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 6 + 2 + 4 + 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 1639161490 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 4 providers are registered at the same or nearby location.
MAGALY DELGADO PSY.D.
Psychologist
501 MEDICAL PLAZA DR
SUITE 102
LEESBURG, FL
ZIP 34748
DR. FELIPE O ORTIZ M.D.
Internal Medicine
(Pulmonary Disease)
501 MEDICAL PLAZA DR
SUITE 102
LEESBURG, FL
ZIP 34748
LAKE PULMONARY & SLEEP DISORDERS CLINIC P.A.
Internal Medicine
(Pulmonary Disease)
501 MEDICAL PLAZA DR
SUITE 102
LEESBURG, FL
ZIP 34748
JULIANA RIPPY APRN
Nurse Practitioner
(Primary Care)
501 MEDICAL PLAZA DR
LEESBURG, FL
ZIP 34748
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639161490, enumerated as an "individual" on August 18, 2005.
The provider is located at 501 MEDICAL PLAZA DR SUITE 102 LEESBURG, FL 34748 and the phone number is (352) 728-0709.
Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
