LUIS ANTONIO PIRES MD
NPI 1689676223
Internal Medicine - Clinical Cardiac Electrophysiology in Roseville, MI
NPI Status: Active since August 12, 2005
Contact Information
25195 KELLY RD
SUITE A
ROSEVILLE, MI
ZIP 48066
Phone: (586) 775-4594
Fax: (586) 775-4506
- Individual
- Male
- Internal Medicine
- Clinical Cardiac Electrophysiology
- Accepts Insurance
- PECOS Enrolled
About LUIS PIRES
This page provides the complete NPI Profile along with additional information for Luis Pires, an internist established in Roseville, Michigan with a medical specialization in Internal Medicine, focusing in clinical cardiac electrophysiology . The healthcare provider is registered in the NPI registry with number 1689676223 assigned on August 2005. The practitioner's primary taxonomy code is 207RC0001X with license number 4301063639 (MI). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1689676223
- Provider Name
- LUIS ANTONIO PIRES MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 25195 KELLY RD SUITE A ROSEVILLE, MI 48066
- Location Phone
- (586) 775-4594
- Location Fax
- (586) 775-4506
- Mailing Address
- 25195 KELLY RD SUITE A ROSEVILLE, MI 48066
- Mailing Phone
- (586) 775-4594
- Mailing Fax
- (586) 775-4506
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-12-2005
- Last Update Date
- 03-07-2023
- Code Navigator
An internist like Luis Pires 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 Clinical Cardiac Electrophysiology
- Taxonomy Code
- 207RC0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301063639
- License State
- MI
- Taxonomy Description
- A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | 4301063639 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Healthy Heart Gold Adult Vision & Fitness - HMO
- Healthy Heart Silver - HMO
- Healthy Heart Silver Adult Vision & Fitness - HMO
- Low Premium Silver - HMO
- Low Premium Silver Adult Vision & Fitness - HMO
- Silver - HMO
- Silver Adult Vision & Fitness - HMO
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 |
|---|---|---|---|
| OH-26467007 | OTHER (01) | MI | MEDICARE ID |
| 0605007411 | OTHER (01) | MI | BLUECROSSBLUESHIELD |
Medicare Participation & PECOS Enrollment Status
Luis Pires 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: Durable Medical Equipment (DME) 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: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
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 48066 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.28
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.57
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.35
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $25.58
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* 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 | 8 | 9 | 6 | 7 | 6 | 2 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 12 | 7 | 12 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 2 + 7 + 1 + 2 + 2 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1689676223 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
BANDA P REDDY MD
Internal Medicine
(Cardiovascular Disease)
25195 KELLY RD
SUITE A
ROSEVILLE, MI
ZIP 48066
LINDA ANN MANNINO APRN BC MSN CNP
Nurse Practitioner
25195 KELLY RD
SUITE A
ROSEVILLE, MI
ZIP 48066
DAVID A SCHWARTZ DO
Internal Medicine
(Cardiovascular Disease)
25195 KELLY RD
SUITE A
ROSEVILLE, MI
ZIP 48066
DAWN M BURKE CNP
Nurse Practitioner
(Primary Care)
25195 KELLY RD
SUITE A
ROSEVILLE, MI
ZIP 48066
SHYAM SUNDER MOUDGIL MD
Psychiatry & Neurology
(Neurology)
25195 KELLY RD
SUITE B
ROSEVILLE, MI
ZIP 48066
ALICIA G LUMLEY MD
Psychiatry & Neurology
(Neurology)
25195 KELLY RD
SUITE B
ROSEVILLE, MI
ZIP 48066
YI CHUL SUL MD
Psychiatry & Neurology
(Neurology)
25195 KELLY RD
SUITE B
ROSEVILLE, MI
ZIP 48066
DR. HANI KADOR M.D.
Internal Medicine
(Interventional Cardiology)
25195 KELLY RD
SUITE A
ROSEVILLE, MI
ZIP 48066
MOHAMED ATEF EL-HADDAD M.D
Internal Medicine
(Cardiovascular Disease)
25195 KELLY RD
ROSEVILLE, MI
ZIP 48066
VAMSHIDHAR GUDUGUNTLA MD
Internal Medicine
(Cardiovascular Disease)
25195 KELLY RD
SUITE A
ROSEVILLE, MI
ZIP 48066
SRIHARI RAVI MD
Internal Medicine
(Cardiovascular Disease)
25195 KELLY RD
SUITE A
ROSEVILLE, MI
ZIP 48066
JOHN CHARLES SOMOGYI MD
Internal Medicine
(Cardiovascular Disease)
25195 KELLY RD
SUITE A
ROSEVILLE, MI
ZIP 48066
HIROSHI YAMASAKI MD
Internal Medicine
(Cardiovascular Disease)
25195 KELLY RD
SUITE A
ROSEVILLE, MI
ZIP 48066
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689676223, enumerated as an "individual" on August 12, 2005.
The provider is located at 25195 KELLY RD SUITE A ROSEVILLE, MI 48066 and the phone number is (586) 775-4594.
Internal Medicine with taxonomy code 207RC0001X and a focus in Clinical Cardiac Electrophysiology.
The provider might be accepting Accepts: HAP CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
