CORY DALE SHOWALTER MD
NPI 1699982553
Pediatrics - Pediatric Emergency Medicine in Indianapolis, IN

NPI Status: Active since May 17, 2007

Contact Information

705 RILEY HOSPITAL DR.
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-3936
Fax: (317) 948-5844

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  • Individual
  • Male
  • Years of Experience 21
  • Pediatrics
  • Pediatric Emergency Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About CORY SHOWALTER

This page provides the complete NPI Profile along with additional information for Cory Showalter, a pediatrician established in Indianapolis, Indiana with a medical specialization in Pediatrics, focusing in pediatric emergency medicine and more than 21 years of experience. He graduated from Indiana University School Of Medicine in 2005. The healthcare provider is registered in the NPI registry with number 1699982553 assigned on May 2007. The practitioner's primary taxonomy code is 2080P0204X with license number 01070711A (IN). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1699982553
Provider Name
CORY DALE SHOWALTER MD
Gender
Male
Entity Type
Individual
Location Address
705 RILEY HOSPITAL DR. INDIANAPOLIS, IN 46202
Location Phone
(317) 944-3936
Location Fax
(317) 948-5844
Mailing Address
250 N SHADELAND AVE INDIANAPOLIS, IN 46219
Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
05-17-2007
Last Update Date
11-12-2024
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A pediatrician like Cory Showalter is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics Pediatric Emergency Medicine

Taxonomy Code
2080P0204X
Type
Allopathic & Osteopathic Physicians
License No.
01070711A
License State
IN
Taxonomy Description
A pediatrician who has special qualifications to manage emergencies in infants and children.

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)
1207PP0204XAllopathic & Osteopathic Physicians

Emergency Medicine
Pediatric Emergency Medicine

01070711A (IN)
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

35.090842 (OH)

Insurance Plans Accepted

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

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + 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
200912830MEDICAID (05)IN 

Medicare Participation & PECOS Enrollment Status

Cory Showalter 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.

Cory Showalter 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

  • PECOS PAC ID: 3476628496

    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: I20120523000381

    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.

  • 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

Reviews for CORY DALE SHOWALTER MD

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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 1699982553, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

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
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
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 9 → 18 → 9 9 → 18 → 9 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 8 + 9 + 1 + 8 + 8 + 4 + 5 + 1 + 0 + 24 = 77

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

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1699982553.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR., RI-5837
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR., RI-5837
INDIANAPOLIS, IN 46202
Neurological Surgery
705 RILEY HOSPITAL DR.
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR., RI-5837
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR., RI 5837
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR., RI 5837
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR., RI 5837
INDIANAPOLIS, IN 46202
Pediatrics
705 RILEY HOSPITAL DR., RI-5837
INDIANAPOLIS, IN 46202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699982553, enumerated as an "individual" on May 17, 2007.

The provider is located at 705 RILEY HOSPITAL DR. INDIANAPOLIS, IN 46202 and the phone number is (317) 944-3936.

Pediatrics with taxonomy code 2080P0204X and a focus in Pediatric Emergency Medicine.

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