BRIAN A. EMADI P.A.
NPI 1841569886
Physician Assistant - Medical in Temple, TX
NPI Status: Active since December 20, 2011
Contact Information
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
Phone: (254) 215-9790
- Individual
- Male
- Years of Experience 15
- Physician Assistant
- Medical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About BRIAN EMADI
This page provides the complete NPI Profile along with additional information for Brian Emadi, a primary care provider established in Temple, Texas with a medical specialization in Physician Assistant, focusing in medical and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1841569886 assigned on December 2011. The practitioner's primary taxonomy code is 363AM0700X with license number PA07454 (TX). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1841569886
- Provider Name
- BRIAN A. EMADI P.A.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2401 S 31ST ST TEMPLE, TX 76508
- Location Phone
- (254) 215-9790
- Mailing Address
- PO BOX 844658 DALLAS, TX 75284
- Mailing Phone
- (254) 215-9790
- Mailing Fax
- Medical School Name
- OTHER
- Graduation Year
- 2011
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-20-2011
- Last Update Date
- 03-31-2023
- Code Navigator
A primary care provider (PCP) like Brian Emadi 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
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA07454
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Brian Emadi 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.
Brian Emadi 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: 3678732435
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: I20120314000360
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, 20-29 minutes
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 11 times for 11 patientsThis 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 72 times for 72 patientsReviews for BRIAN A. EMADI P.A.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 4 | 1 | 5 | 6 | 9 | 8 | 8 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 8 | 1 | 10 | 6 | 18 | 8 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 8 + 1 + 1 + 0 + 6 + 1 + 8 + 8 + 1 + 6 + 24 = 74 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 74 = 6 | 6 |
The NPI number 1841569886 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MRS. SHERRY MARCELLA ALVARADO RN,MSN,ACNS-BC
Clinical Nurse Specialist
(Adult Health)
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. ANDREJS E. AVOTS-AVOTINS M.D.
Internal Medicine
(Gastroenterology)
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. LAWRENCE BARENHOLTZ M.D.
Internal Medicine
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. JOSEPH BALTRUN M.D.
Pediatrics
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. ROBERT H. BRAKEMEIER M.D.
Obstetrics & Gynecology
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. LOUIS W. ADAMS M.D.
Ophthalmology
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. DAVID P. CICERI M.D.
Anesthesiology
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. E. DARRELL CRISP M.D.
Psychiatry & Neurology
(Neurology)
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. LAURA CULP M.D.
Radiology
(Radiation Oncology)
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. WALTER P. DYCK M.D.
Internal Medicine
(Gastroenterology)
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. LUDVICK R. DONNER M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. MONFORD D. CUSTER III M.D.
Surgery
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. DUDLEY P. BAKER M.D.
Obstetrics & Gynecology
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. BILL BASS JR. M.D.
Emergency Medicine
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. JOHN R. ASBURY M.D.
Pediatrics
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. PETER C. GROTHAUS M.D.
Surgery
(Plastic and Reconstructive Surgery)
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. DANIEL HADLOCK M.D.
Internal Medicine
(Hematology & Oncology)
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. JOHN R. BOWLING M.D.
Internal Medicine
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. THOMAS K. JOSEPH M.D.
Physical Medicine & Rehabilitation
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
DR. CHERYL A. CIPRIANI M.D.
Pediatrics
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841569886, enumerated as an "individual" on December 20, 2011.
The provider is located at 2401 S 31ST ST TEMPLE, TX 76508 and the phone number is (254) 215-9790.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.