MEMORIAL CHILDREN'S HOSPITAL NAVARRE PEDIATRICS
NPI 1689627812
Urology in South Bend, IN

NPI Status: Active since May 18, 2006

Contact Information

100 NAVARRE PL
SUITE 4400
SOUTH BEND, IN
ZIP 46601
Phone: (574) 647-4535

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  • Organization
  • Urology

About MEMORIAL CHILDREN'S HOSPITAL NAVARRE PEDIATRICS

This page provides the complete NPI Profile along with additional information for Memorial Children's Hospital Navarre Pediatrics, a provider established in South Bend, Indiana operating as a Urology. The healthcare provider is registered in the NPI registry with number 1689627812 assigned on May 2006. The practitioner's primary taxonomy code is 208800000X with license number 01024987A (IN). The provider is registered as an organization and their NPI record was last updated 10 years ago. Memorial Children's Hospital Navarre Pediatrics operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Memorial Children's Hospital Navarre Pediatrics. The authorized official of this NPI record is Jeffrey Costello (Vp-cfo)

NPI
1689627812
Provider Legal Name
BEACON MEDICAL GROUP
Other Organization Name
MEMORIAL CHILDREN'S HOSPITAL NAVARRE PEDIATRICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 NAVARRE PL SUITE 4400 SOUTH BEND, IN 46601
Location Phone
(574) 647-4535
Mailing Address
710 N NILES AVE SOUTH BEND, IN 46617
Mailing Phone
(574) 647-1610
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2006
Last Update Date
03-09-2016
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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

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
01024987A
License State
IN
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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

JEFFREY COSTELLO

Authorized Official Title
VP-CFO
Authorized Official Phone
(574) 647-3549

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
225380MEDICARE PIN (08)IN 
15D1038973OTHER (01)INCLIA NUMBER

Reviews for MEMORIAL CHILDREN'S HOSPITAL NAVARRE PEDIATRICS

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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 1689627812, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 8 → 16 → 7 6 → 12 → 3 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 1 + 2 + 2 + 1 + 4 + 8 + 2 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1689627812.

Other Providers at the Same Location


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

Obstetrics & Gynecology
100 NAVARRE PL, STE. 4470
SOUTH BEND, IN 46601
Internal Medicine
100 NAVARRE PL, STE. 4400
SOUTH BEND, IN 46601
Pediatrics
100 NAVARRE PL, STE. 4440
SOUTH BEND, IN 46601
Urology
100 NAVARRE PL, STE. 4400
SOUTH BEND, IN 46601
Nurse Practitioner (Pediatrics)
100 NAVARRE PL, SUITE 4440
SOUTH BEND, IN 46601
Neurological Surgery
100 NAVARRE PL, SUITE 6600
SOUTH BEND, IN 46601
Specialist
100 NAVARRE PL, SUITE 6600
SOUTH BEND, IN 46601
Internal Medicine (Rheumatology)
100 NAVARRE PL, SUITE 5570
SOUTH BEND, IN 46601
Physical Therapist (Pediatrics)
100 NAVARRE PL, SUITE 6650
SOUTH BEND, IN 46601
Physical Therapist (Pediatrics)
100 NAVARRE PL, SUITE 6650
SOUTH BEND, IN 46601
Physical Therapist (Pediatrics)
100 NAVARRE PL, SUITE 6650
SOUTH BEND, IN 46601
Physical Therapist (Pediatrics)
100 NAVARRE PL, SUITE 6650
SOUTH BEND, IN 46601
Speech-Language Pathologist
100 NAVARRE PL, SUITE 6650
SOUTH BEND, IN 46601
Speech-Language Pathologist
100 NAVARRE PL, SUITE 6650
SOUTH BEND, IN 46601
Specialist
100 NAVARRE PL, STE 6640
SOUTH BEND, IN 46601
Nurse Practitioner (Family)
100 NAVARRE PL, STE 5550
SOUTH BEND, IN 46601
Physical Therapist
100 NAVARRE PL, SUITE 6650
SOUTH BEND, IN 46601
Neurological Surgery
100 NAVARRE PL, SUITE 6600
SOUTH BEND, IN 46601
Obstetrics & Gynecology (Maternal & Fetal Medicine)
100 NAVARRE PL
SOUTH BEND, IN 46601
Obstetrics & Gynecology
100 NAVARRE PL, SUITE 4470
SOUTH BEND, IN 46601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689627812, enumerated as an "organization" on May 18, 2006.

The provider is located at 100 NAVARRE PL SUITE 4400 SOUTH BEND, IN 46601 and the phone number is (574) 647-4535.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.