DR. CARLOS A CORREA ACOSTA M.D.
NPI 1720056500
Specialist in Bayamon, PR

NPI Status: Active since March 09, 2006

Contact Information

B6 AVE SANTA JUANITA
SUNNY HILLS
BAYAMON, PR
ZIP 00956
Phone: (787) 269-2641
Fax: (787) 288-4578

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  • Individual
  • Male
  • Years of Experience 37
  • Specialist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About CARLOS A CORREA ACOSTA

This page provides the complete NPI Profile along with additional information for Carlos A Correa Acosta, a provider established in Bayamon, Puerto Rico with a medical specialization in Specialist and more than 37 years of experience. He graduated from University Central Del Caribe Escuela De Medicina in 1989. The healthcare provider is registered in the NPI registry with number 1720056500 assigned on March 2006. The practitioner's primary taxonomy code is 174400000X with license number 10175 (PR). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1720056500
Provider Name
DR. CARLOS A CORREA ACOSTA M.D.
Gender
Male
Entity Type
Individual
Location Address
B6 AVE SANTA JUANITA SUNNY HILLS BAYAMON, PR 00956
Location Phone
(787) 269-2641
Location Fax
(787) 288-4578
Mailing Address
88 CALLE ROBLE CIUDAD JARDIN III TOA ALTA, PR 00953
Mailing Phone
(787) 269-2641
Mailing Fax
(787) 288-4578
Medical School Name
UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
Graduation Year
1989
Is Sole Proprietor?
No
Enumeration Date
03-09-2006
Last Update Date
06-30-2009
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
10175
License State
PR
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Medicare Participation & PECOS Enrollment Status

Carlos A Correa Acosta 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.

Carlos A Correa Acosta 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: 5991983009

    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: I20110620000472

    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

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 40 times for 13 patients

Reviews for DR. CARLOS A CORREA ACOSTA M.D.

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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 1720056500, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
0
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 2 → 4 0 → 0 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 0 + 5 + 1 + 2 + 5 + 0 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1720056500.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Specialist
B6 AVE SANTA JUANITA, SUNNY HILLS
BAYAMON, PR 00956

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720056500, enumerated as an "individual" on March 09, 2006.

The provider is located at B6 AVE SANTA JUANITA SUNNY HILLS BAYAMON, PR 00956 and the phone number is (787) 269-2641.

Specialist with taxonomy code 174400000X.