MARTIN BIALER MD
NPI 1689734741
Medical Genetics - Clinical Genetics (M.D.) in Manhasset, NY

NPI Status: Active since December 11, 2006

Contact Information

NSUH MEDICAL GENETICS
1554 NORTHERN BOULEVARD
MANHASSET, NY
ZIP 11030
Phone: (516) 365-3996

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  • Individual
  • Male
  • Medical Genetics
  • Clinical Genetics (M.D.)
  • PECOS Enrolled

About MARTIN BIALER

This page provides the complete NPI Profile along with additional information for Martin Bialer, a provider established in Manhasset, New York with a medical specialization in Medical Genetics, focusing in clinical genetics (m.d.) . The healthcare provider is registered in the NPI registry with number 1689734741 assigned on December 2006. The practitioner's primary taxonomy code is 207SG0201X with license number 160628 (NY). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1689734741
Provider Name
MARTIN BIALER MD
Gender
Male
Entity Type
Individual
Location Address
NSUH MEDICAL GENETICS 1554 NORTHERN BOULEVARD MANHASSET, NY 11030
Location Phone
(516) 365-3996
Mailing Address
NSUH MEDICAL GENETICS 1554 NORTHERN BOULEVARD MANHASSET, NY 11030
Mailing Phone
(516) 365-3996
Is Sole Proprietor?
No
Enumeration Date
12-11-2006
Last Update Date
07-08-2007
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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

Medical Genetics Clinical Genetics (M.D.)

Taxonomy Code
207SG0201X
Type
Allopathic & Osteopathic Physicians
License No.
160628
License State
NY
Taxonomy Description
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Medicare Participation & PECOS Enrollment Status

Martin Bialer 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE000N)

    Tracheal suction catheter, closed system, each (HCPCS:A4605)

    1 DME suppliers used 12 Medicare Claims 120 Services Paid

  • DME-Other DME (DE000N)

    Oropharyngeal suction catheter, each (HCPCS:A4628)

    1 DME suppliers used 12 Medicare Claims 36 Services Paid

  • DME-Other DME (DE000N)

    Canister, disposable, used with suction pump, each (HCPCS:A7000)

    1 DME suppliers used 12 Medicare Claims 60 Services Paid

  • DME-Other DME (DE000N)

    Tubing, used with suction pump, each (HCPCS:A7002)

    1 DME suppliers used 12 Medicare Claims 60 Services Paid

  • DME-Other DME (DE005N)

    Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) (HCPCS:E0465)

    1 DME suppliers used 12 Medicare Claims 24 Services Paid

Orthotic Devices

  • DME-Orthotic Devices (DF000N)

    Tracheostomy, inner cannula (HCPCS:A4623)

    1 DME suppliers used 12 Medicare Claims 60 Services Paid

  • DME-Orthotic Devices (DF000N)

    Tracheostomy care kit for established tracheostomy (HCPCS:A4629)

    1 DME suppliers used 12 Medicare Claims 360 Services Paid

  • DME-Orthotic Devices (DF000N)

    Tracheostomy tube collar/holder, each (HCPCS:A7526)

    1 DME suppliers used 12 Medicare Claims 60 Services Paid

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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 1689734741, 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 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 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
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
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 8 → 16 → 7 7 → 14 → 5 4 → 8 4 → 8

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 + 4 + 3 + 8 + 7 + 8 + 24 = 79

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

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1689734741.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689734741, enumerated as an "individual" on December 11, 2006.

The provider is located at NSUH MEDICAL GENETICS 1554 NORTHERN BOULEVARD MANHASSET, NY 11030 and the phone number is (516) 365-3996.

Medical Genetics with taxonomy code 207SG0201X and a focus in Clinical Genetics (M.D.).