DR. PHILIP JOHN DERLETH D.C.
NPI 1659696771
Student in an Organized Health Care Education/Training Program in Fairport, NY

NPI Status: Active since March 31, 2010

Contact Information

1387 FAIRPORT RD
SUITE 640
FAIRPORT, NY
ZIP 14450
Phone: (585) 598-3535

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  • Individual
  • Male
  • Years of Experience 16
  • Student in an Organized Health Care Educ...
  • Accepts Medicare Approved Payment

About PHILIP DERLETH

This page provides the complete NPI Profile along with additional information for Philip Derleth, a primary care provider established in Fairport, New York with a medical specialization in Student In An Organized Health Care Education/training Program and more than 16 years of experience. He graduated from New York Chiropractic College in 2010. The healthcare provider is registered in the NPI registry with number 1659696771 assigned on March 2010. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1659696771
Provider Name
DR. PHILIP JOHN DERLETH D.C.
Gender
Male
Entity Type
Individual
Location Address
1387 FAIRPORT RD SUITE 640 FAIRPORT, NY 14450
Location Phone
(585) 598-3535
Mailing Address
40 VALLEY BROOK DR FAIRPORT, NY 14450
Mailing Phone
(585) 598-3535
Medical School Name
NEW YORK CHIROPRACTIC COLLEGE
Graduation Year
2010
Is Sole Proprietor?
No
Enumeration Date
03-31-2010
Last Update Date
03-31-2010
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A primary care provider (PCP) like Philip Derleth sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Philip Derleth 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.

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.

  • PECOS PAC ID: 5597894873

    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: I20100525000554

    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.

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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 1659696771, 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
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 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 5 → 10 → 1 6 → 12 → 3 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 0 + 9 + 1 + 2 + 9 + 1 + 2 + 7 + 1 + 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 1659696771.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
1387 FAIRPORT RD, SUITE 580
FAIRPORT, NY 14450
Nurse Practitioner (Psychiatric/Mental Health)
1387 FAIRPORT RD, BUILDING 600 SUITE 660
FAIRPORT, NY 14450
Clinic/Center (Developmental Disabilities)
1387 FAIRPORT RD, BUILDING 1100
FAIRPORT, NY 14450
Social Worker (Clinical)
1387 FAIRPORT RD, BUILDING 500, SUITE 540
FAIRPORT, NY 14450
Chiropractor
1387 FAIRPORT RD, SUITE 640
FAIRPORT, NY 14450
Counselor (Mental Health)
1387 FAIRPORT RD, BUILDING 700
FAIRPORT, NY 14450
Massage Therapist
1387 FAIRPORT RD, SUITE 520
FAIRPORT, NY 14450
Clinic/Center (Health Service)
1387 FAIRPORT RD, BUILDING 500 SUITE 520
FAIRPORT, NY 14450
Physical Therapist
1387 FAIRPORT RD, BUILDING 1100
FAIRPORT, NY 14450
Speech-Language Pathologist
1387 FAIRPORT RD
FAIRPORT, NY 14450
Social Worker (Clinical)
1387 FAIRPORT RD, SUITE 1000D
FAIRPORT, NY 14450
Social Worker
1387 FAIRPORT RD, SUITE 540
FAIRPORT, NY 14450
Occupational Therapist
1387 FAIRPORT RD
FAIRPORT, NY 14450
Speech-Language Pathologist
1387 FAIRPORT RD
FAIRPORT, NY 14450
Psychiatry & Neurology (Psychiatry)
1387 FAIRPORT RD, STE 650
FAIRPORT, NY 14450
Psychiatry & Neurology (Psychiatry)
1387 FAIRPORT RD, 660 FAIRPORT OFFICE PARK
FAIRPORT, NY 14450
Speech-Language Pathologist
1387 FAIRPORT RD
FAIRPORT, NY 14450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659696771, enumerated as an "individual" on March 31, 2010.

The provider is located at 1387 FAIRPORT RD SUITE 640 FAIRPORT, NY 14450 and the phone number is (585) 598-3535.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.