NATCHITOCHES WOMEN'S CARE
NPI 1679645071
Clinic/Center - Medical Specialty in Natchitoches, LA

NPI Status: Active since November 14, 2006

Contact Information

627 BIENVILLE CIR
NATCHITOCHES, LA
ZIP 71457
Phone: (318) 352-9595
Fax: (318) 352-9818

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About NATCHITOCHES WOMEN'S CARE

This page provides the complete NPI Profile along with additional information for Natchitoches Women's Care, a provider established in Natchitoches, Louisiana operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1679645071 assigned on November 2006. The practitioner's primary taxonomy code is 261QM2500X with license number 13567R (LA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Natchitoches Women's Care. The authorized official of this NPI record is Dr. Martin Aviles Md (Owner Physician)

NPI
1679645071
Provider Legal Name
MARTIN AVILES MD A PROFESSIONAL MEDICAL CORPORATION
Other Organization Name
NATCHITOCHES WOMEN'S CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
627 BIENVILLE CIR NATCHITOCHES, LA 71457
Location Phone
(318) 352-9595
Location Fax
(318) 352-9818
Mailing Address
627 BIENVILLE CIR NATCHITOCHES, LA 71457
Mailing Phone
(318) 352-9595
Mailing Fax
(318) 352-9818
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2006
Last Update Date
05-16-2013
Code Navigator



Natchitoches Women's Care is a medicare supplier with PTAN 20570849 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.

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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
13567R
License State
LA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
  • Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
  • Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
  • Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3400 - PPO
  • Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
  • Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
  • Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS

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.

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

DR. MARTIN AVILES MD

Authorized Official Title
OWNER PHYSICIAN
Authorized Official Phone
(318) 352-9595

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
5H631DF29OTHER (01)LAMEDICARE GROUP 'MEMBER' PIN/PTAN
DT5115OTHER (01)LAMEDICARE RAILROAD
5DF29OTHER (01)LAGROUP NPI MEDICARE PIN/PTAN
1417952102OTHER (01)LAINDIVIDUAL PROVIDER NPI #
1529877OTHER (01)LAMEDICAID GROUP PROVIDER ID

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20570849
Accepts Medicare Assignment
YES
Specialities List
Optometrist, Optician.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

Reviews for NATCHITOCHES WOMEN'S CARE

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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 1679645071, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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
7
Doubled → 14 → 1 + 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
0
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 7 → 14 → 5 6 → 12 → 3 5 → 10 → 1 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 + 4 + 9 + 1 + 2 + 4 + 1 + 0 + 0 + 1 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1679645071.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner
627 BIENVILLE CIR
NATCHITOCHES, LA 71457
Nurse Practitioner (Obstetrics & Gynecology)
627 BIENVILLE CIR
NATCHITOCHES, LA 71457
Obstetrics & Gynecology
627 BIENVILLE CIR
NATCHITOCHES, LA 71457
Nurse Practitioner (Women's Health)
627 BIENVILLE CIR
NATCHITOCHES, LA 71457

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679645071, enumerated as an "organization" on November 14, 2006.

The provider is located at 627 BIENVILLE CIR NATCHITOCHES, LA 71457 and the phone number is (318) 352-9595.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.