DR. LESLIE CATHERINE TAGUBA-MADRID MD
NPI 1801885389
Internal Medicine - Endocrinology, Diabetes & Metabolism in Toms River, NJ

NPI Status: Active since October 18, 2005

Contact Information

1163 ROUTE 37 W
SUITE A-1
TOMS RIVER, NJ
ZIP 08755
Phone: (732) 736-1000
Fax: (732) 736-8811

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  • Individual
  • Female
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism
  • Medicare Quality Reporting

About LESLIE TAGUBA-MADRID

This page provides the complete NPI Profile along with additional information for Leslie Taguba-madrid, an internist established in Toms River, New Jersey with a medical specialization in Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1801885389 assigned on October 2005. The practitioner's primary taxonomy code is 207RE0101X with license number 25MA09207900 (NJ). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1801885389
Provider Name
DR. LESLIE CATHERINE TAGUBA-MADRID MD
Gender
Female
Entity Type
Individual
Location Address
1163 ROUTE 37 W SUITE A-1 TOMS RIVER, NJ 08755
Location Phone
(732) 736-1000
Location Fax
(732) 736-8811
Mailing Address
1163 ROUTE 37 W SUITE A-1 TOMS RIVER, NJ 08755
Mailing Phone
(732) 736-1000
Mailing Fax
(732) 736-8811
Is Sole Proprietor?
No
Enumeration Date
10-18-2005
Last Update Date
10-12-2017
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An internist like Leslie Taguba-madrid 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.

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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

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
License No.
25MA09207900
License State
NJ
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Insurance Plans Accepted

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

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
00X156E01MEDICARE PIN (08)VA 
120500031MEDICARE ID-TYPE UNSPECIFIED (04) 
H54171MEDICARE UPIN (02) 
34156600MEDICAID (05)WI 

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Diabetes: Medical Attention for Nephropathy 45% 455
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
Documentation of Current Medications in the Medical Record 22% 5297
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 92% 10890
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Medication Reconciliation 74% 408
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 62% 2163
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 53% 2123
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patient Access 62% 2163
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 27% 2163
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
TCPI ParticipationYesN/A
Participation in the CMS Transforming Clinical Practice Initiative

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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 1801885389, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
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 0 → 0 8 → 16 → 7 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 1 + 6 + 8 + 1 + 0 + 3 + 1 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1801885389.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Colon & Rectal Surgery
1163 ROUTE 37 W, SUITE D-2
TOMS RIVER, NJ 08755
Internal Medicine (Nephrology)
1163 ROUTE 37 W, SUITE D2
TOMS RIVER, NJ 08755
Internal Medicine
1163 ROUTE 37 W, SUITE D4
TOMS RIVER, NJ 08755
Counselor (Professional)
1163 ROUTE 37 W, BUILDING C SUITE 1
TOMS RIVER, NJ 08755
Dentist (Periodontics)
1163 ROUTE 37 W, SUITE C-4
TOMS RIVER, NJ 08755
Internal Medicine
1163 ROUTE 37 W, SUITE D4
TOMS RIVER, NJ 08755
Physiological Laboratory
1163 ROUTE 37 W, SUITE C2
TOMS RIVER, NJ 08755
Internal Medicine (Infectious Disease)
1163 ROUTE 37 W, SUITE A-1
TOMS RIVER, NJ 08755
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1163 ROUTE 37 W, SUITE A-1
TOMS RIVER, NJ 08755
Internal Medicine (Pulmonary Disease)
1163 ROUTE 37 W, D3
TOMS RIVER, NJ 08755
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1163 ROUTE 37 W, SUITE A-1
TOMS RIVER, NJ 08755
Obstetrics & Gynecology (Gynecology)
1163 ROUTE 37 W, SUITE A2
TOMS RIVER, NJ 08755
Internal Medicine (Infectious Disease)
1163 ROUTE 37 W, SUITE A1
TOMS RIVER, NJ 08755
Specialist
1163 ROUTE 37 W, BUILDING C SUITE 1
TOMS RIVER, NJ 08755
Durable Medical Equipment & Medical Supplies
1163 ROUTE 37 W
TOMS RIVER, NJ 08755
Internal Medicine
1163 ROUTE 37 W, SUITE B1
TOMS RIVER, NJ 08755

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801885389, enumerated as an "individual" on October 18, 2005.

The provider is located at 1163 ROUTE 37 W SUITE A-1 TOMS RIVER, NJ 08755 and the phone number is (732) 736-1000.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.

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