DOUGLAS J DELAFIELD MD
NPI 1710929377
Family Medicine in Louisville, KY
NPI Status: Active since June 11, 2006
Contact Information
6400 DUTCHMANS PKWY
SUITE 300
LOUISVILLE, KY
ZIP 40205
Phone: (502) 894-2444
Fax: (502) 894-2445
- Individual
- Male
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
About DOUGLAS DELAFIELD
This page provides the complete NPI Profile along with additional information for Douglas Delafield, a primary care provider established in Louisville, Kentucky with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1710929377 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 28936 (KY). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1710929377
- Provider Name
- DOUGLAS J DELAFIELD MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6400 DUTCHMANS PKWY SUITE 300 LOUISVILLE, KY 40205
- Location Phone
- (502) 894-2444
- Location Fax
- (502) 894-2445
- Mailing Address
- PO BOX 776351 CHICAGO, IL 60677
- Mailing Phone
- (502) 588-9490
- Mailing Fax
- (502) 894-2445
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-11-2006
- Last Update Date
- 08-31-2016
- Code Navigator
A primary care provider (PCP) like Douglas Delafield sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 28936
- License State
- KY
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 01039459 (IN) |
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.
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 |
|---|---|---|---|
| 50017532 | OTHER (01) | KY | PASSPORT |
| 7100026500 | MEDICAID (05) | KY | |
| 144360E | MEDICARE PIN (08) | IN | |
| P00415237 | OTHER (01) | KY | RAILROAD MEDICARE |
| 0998851 | MEDICARE PIN (08) | KY | |
| 000000520323 | OTHER (01) | KY | ANTHEM |
| F00085 | MEDICARE UPIN (02) | IN | |
| 005717 | OTHER (01) | KY | SIHO |
| 100194360 | MEDICAID (05) | IN | |
| 196290MMM NORTON | MEDICARE PIN (08) | IN | |
| 3436186000 | OTHER (01) | KY | PASSPORT ADVANTAGE |
Medicare Participation & PECOS Enrollment Status
Douglas Delafield 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
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 40205 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.24
- Minimum New Patient Price $52.76
- Maximum New Patient Price $162.27
- Average New Patient Copayment $20.56
- Minimum New Patient Copayment $13.19
- Maximum New Patient Copayment $40.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.94
- Minimum Established Patient Price $16.53
- Maximum Established Patient Price $131.99
- Average Established Patient Copayment $23.48
- Minimum Established Patient Copayment $4.13
- Maximum Established Patient Copayment $32.99
* 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 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 1710929377, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710929377, enumerated as an "individual" on June 11, 2006.
The provider is located at 6400 DUTCHMANS PKWY SUITE 300 LOUISVILLE, KY 40205 and the phone number is (502) 894-2444.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: CareSource, Medicare, Medicaid, Railroad Medicare. Please consult your insurance carrier or call the provider to verify.
