DR. VADIVAMBIHAI SKANTHAROOPAN M.D.
NPI 1811109291
Family Medicine in Phoenix, AZ

NPI Status: Active since May 05, 2007

Contact Information

4212 N 16TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 263-1200
Fax: (602) 200-5383

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  • Individual
  • Female
  • Family Medicine
  • PECOS Enrolled

About VADIVAMBIHAI SKANTHAROOPAN

This page provides the complete NPI Profile along with additional information for Vadivambihai Skantharoopan, a primary care provider established in Phoenix, Arizona with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1811109291 assigned on May 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 01063521A (IN). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1811109291
Provider Name
DR. VADIVAMBIHAI SKANTHAROOPAN M.D.
Gender
Female
Entity Type
Individual
Location Address
4212 N 16TH ST PHOENIX, AZ 85016
Location Phone
(602) 263-1200
Location Fax
(602) 200-5383
Mailing Address
PO BOX 31001-0698 PASADENA, CA 91110
Mailing Phone
(602) 263-1200
Is Sole Proprietor?
No
Enumeration Date
05-05-2007
Last Update Date
04-04-2019
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A primary care provider (PCP) like Vadivambihai Skantharoopan 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.
01063521A
License State
IN
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.

Medicare Participation & PECOS Enrollment Status

Vadivambihai Skantharoopan 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

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, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 18 times for 15 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 44 times for 35 patients

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 22 times for 19 patients

Telephone medical discussion with physician, 11-20 minutes

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

This service was performed 41 times for 28 patients

Telephone medical discussion with physician, 5-10 minutes

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

This service was performed 56 times for 36 patients

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 85016 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.89
  • Minimum New Patient Price $55.44
  • Maximum New Patient Price $168.6
  • Average New Patient Copayment $21.47
  • Minimum New Patient Copayment $13.86
  • Maximum New Patient Copayment $42.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $137.41
  • Average Established Patient Copayment $24.5
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $34.35

* 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.

Reviews for DR. VADIVAMBIHAI SKANTHAROOPAN 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 1811109291, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 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 1 → 2 1 → 2 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 2 + 1 + 2 + 0 + 1 + 8 + 2 + 1 + 8 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1811109291.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Nurse Practitioner (Obstetrics & Gynecology)
4212 N 16TH ST
PHOENIX, AZ 85016
Pharmacist
4212 N 16TH ST, PHARMACY
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Physician Assistant (Medical)
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Dentist (General Practice)
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Optometrist
4212 N 16TH ST
PHOENIX, AZ 85016
Optometrist
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Emergency Medicine
4212 N 16TH ST, EMERGENCY DEPARTMENT
PHOENIX, AZ 85016
Otolaryngology
4212 N 16TH ST
PHOENIX, AZ 85016
Otolaryngology
4212 N 16TH ST
PHOENIX, AZ 85016
Nurse Practitioner (Obstetrics & Gynecology)
4212 N 16TH ST
PHOENIX, AZ 85016
Audiologist
4212 N 16TH ST
PHOENIX, AZ 85016
Anesthesiology
4212 N 16TH ST
PHOENIX, AZ 85016
Internal Medicine (Rheumatology)
4212 N 16TH ST
PHOENIX, AZ 85016
Advanced Practice Midwife
4212 N 16TH ST, OB/GYN DEPARTMENT
PHOENIX, AZ 85016
Dentist (Dental Public Health)
4212 N 16TH ST, DENTAL
PHOENIX, AZ 85016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811109291, enumerated as an "individual" on May 05, 2007.

The provider is located at 4212 N 16TH ST PHOENIX, AZ 85016 and the phone number is (602) 263-1200.

Family Medicine with taxonomy code 207Q00000X.