TROY M SMURAWA M.D.
NPI 1639233729
Pediatrics - Sports Medicine in Plano, TX
NPI Status: Active since December 21, 2006
Contact Information
7211 PRESTON RD STE 1200
PLANO, TX
ZIP 75024
Phone: (214) 456-9250
- Individual
- Male
- Pediatrics
- Sports Medicine
- Accepts Insurance
- PECOS Enrolled
About TROY SMURAWA
This page provides the complete NPI Profile along with additional information for Troy Smurawa, a pediatrician established in Plano, Texas with a medical specialization in Pediatrics, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1639233729 assigned on December 2006. The practitioner's primary taxonomy code is 2080S0010X with license number Q7604 (TX). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1639233729
- Provider Name
- TROY M SMURAWA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7211 PRESTON RD STE 1200 PLANO, TX 75024
- Location Phone
- (214) 456-9250
- Mailing Address
- 7211 PRESTON RD STE 1200 PLANO, TX 75024
- Mailing Phone
- (214) 456-9250
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-21-2006
- Last Update Date
- 08-29-2018
- Code Navigator
A pediatrician like Troy Smurawa 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 Sports Medicine
- Taxonomy Code
- 2080S0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- Q7604
- License State
- TX
- Taxonomy Description
- A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Diabetes Care Gold HMO 014 - HMO
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Savers Bronze HMO H S A 009 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Troy Smurawa 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
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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 1639233729, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
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 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PLANO, TX 75024
PLANO, TX 75024
PLANO, TX 75024
PLANO, TX 75024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639233729, enumerated as an "individual" on December 21, 2006.
The provider is located at 7211 PRESTON RD STE 1200 PLANO, TX 75024 and the phone number is (214) 456-9250.
Pediatrics with taxonomy code 2080S0010X and a focus in Sports Medicine.
The provider might be accepting Accepts: Baylor Scott and White Health Plan. Please consult your insurance carrier or call the provider to verify.
