ZACHARY DAWES DO
NPI 1861020778
Physical Medicine & Rehabilitation in Baton Rouge, LA

NPI Status: Active since March 28, 2020

Contact Information

10310 THE GROVE BLVD
BATON ROUGE, LA
ZIP 70836
Phone: (225) 761-5200
Fax: (225) 761-5450

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  • Individual
  • Male
  • Years of Experience 6
  • Physical Medicine & Rehabilitation
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ZACHARY DAWES

This page provides the complete NPI Profile along with additional information for Zachary Dawes, a provider established in Baton Rouge, Louisiana with a medical specialization in Physical Medicine & Rehabilitation and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1861020778 assigned on March 2020. The practitioner's primary taxonomy code is 208100000X with license number 341007 (LA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1861020778
Provider Name
ZACHARY DAWES DO
Gender
Male
Entity Type
Individual
Location Address
10310 THE GROVE BLVD BATON ROUGE, LA 70836
Location Phone
(225) 761-5200
Location Fax
(225) 761-5450
Mailing Address
1514 JEFFERSON HWY NEW ORLEANS, LA 70121
Mailing Phone
(504) 842-4000
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
Yes
Enumeration Date
03-28-2020
Last Update Date
09-04-2024
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Location Map

Secondary Locations

  • 1 Childrens Way # 512-19A
    Little Rock, AR 72202
    (501) 364-1874

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

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
License No.
341007
License State
LA
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

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)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

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

  • Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (L) - POS
  • Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (N) - POS
  • Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (S) - POS
  • Blue Connect Copay (PCP) 50/50 $7500 Standardized (H) HSA Eligible - POS
  • Blue Connect Copay (PCP) 50/50 $7500 Standardized (L) HSA Eligible - POS
  • Blue Connect Copay (PCP) 50/50 $7500 Standardized (N) HSA Eligible - POS
  • Blue Connect Copay (PCP) 50/50 $7500 Standardized (S) HSA Eligible - POS
  • Blue Connect Copay (PCP) 60/40 $6000 Standardized (L) - POS
  • Blue Connect Copay (PCP) 60/40 $6000 Standardized (N) - POS
  • Blue Connect Copay (PCP) 60/40 $6000 Standardized (S) - POS
  • Blue Connect Copay (PCP) 75/55 $2000 Standardized (H) - POS
  • Blue Connect Copay (PCP) 75/55 $2000 Standardized (L) - POS
  • Blue Connect Copay (PCP) 75/55 $2000 Standardized (N) - POS
  • Blue Connect Copay (PCP) 75/55 $2000 Standardized (S) - POS
  • Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
  • Blue POS Copay (PCP) 75/55 $2000 Standardized - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Zachary Dawes 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.

Zachary Dawes 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: 6305268061

    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: I20240917002428

    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

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Zachary Dawes is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
OCHSNER MEDICAL CENTER - BATON ROUGE17000 MEDICAL CENTER DR
BATON ROUGE, LA 70816
(225) 752-2470Acute Care Hospitals

Reviews for ZACHARY DAWES DO

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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 1861020778, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
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 6 → 12 → 3 0 → 0 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 0 + 2 + 0 + 7 + 1 + 4 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1861020778.

Other Providers at the Same Location


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

General Practice
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Specialist/Technologist (Athletic Trainer)
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Dietitian, Registered
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Internal Medicine (Pulmonary Disease)
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Allergy & Immunology
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Dermatology
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Dermatology (MOHS-Micrographic Surgery)
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Speech-Language Pathologist
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Dermatology
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Dietitian, Registered (Nutrition, Metabolic)
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Social Worker
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Orthopaedic Surgery (Sports Medicine)
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Otolaryngology (Pediatric Otolaryngology)
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Orthopaedic Surgery (Sports Medicine)
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Dietitian, Registered (Nutrition, Pediatric)
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Specialist/Technologist (Athletic Trainer)
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Anesthesiology (Pain Medicine)
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Nurse Anesthetist, Certified Registered
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Physician Assistant
10310 THE GROVE BLVD
BATON ROUGE, LA 70836
Clinical Neuropsychologist
10310 THE GROVE BLVD
BATON ROUGE, LA 70836

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861020778, enumerated as an "individual" on March 28, 2020.

The provider is located at 10310 THE GROVE BLVD BATON ROUGE, LA 70836 and the phone number is (225) 761-5200.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.

The provider might be accepting Accepts: HMO Louisiana. Please consult your insurance carrier or call the provider to verify.

Zachary Dawes is affiliated with: OCHSNER MEDICAL CENTER - BATON ROUGE.