DR. THOMAS G. O'DANIEL JR. M.D.
NPI 1871585018
Surgery - Plastic and Reconstructive Surgery in Louisville, KY

NPI Status: Active since August 15, 2005

Contact Information

222 S 1ST ST
SUITE 100
LOUISVILLE, KY
ZIP 40202
Phone: (502) 584-1109
Fax: (502) 589-6882

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  • Individual
  • Male
  • Surgery
  • Plastic and Reconstructive Surgery
  • PECOS Enrolled

About THOMAS O'DANIEL

This page provides the complete NPI Profile along with additional information for Thomas O'daniel, a provider established in Louisville, Kentucky with a medical specialization in Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1871585018 assigned on August 2005. The practitioner's primary taxonomy code is 2086S0122X with license number 24070 (KY). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1871585018
Provider Name
DR. THOMAS G. O'DANIEL JR. M.D.
Gender
Male
Entity Type
Individual
Location Address
222 S 1ST ST SUITE 100 LOUISVILLE, KY 40202
Location Phone
(502) 584-1109
Location Fax
(502) 589-6882
Mailing Address
222 S 1ST ST SUITE 100 LOUISVILLE, KY 40202
Mailing Phone
(502) 584-1109
Mailing Fax
(502) 589-6882
Is Sole Proprietor?
Yes
Enumeration Date
08-15-2005
Last Update Date
04-04-2016
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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

Surgery Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
License No.
24070
License State
KY
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

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.

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.

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
000000219660OTHER (01)KYANTHEM PIN
KY0057799OTHER (01)KYTRICARE
1058697OTHER (01)KYPASSPORT PIN
KY1118OTHER (01)KYHEALTHNET PIN
64240708MEDICAID (05)KY 
1918001MEDICARE PIN (08)KY 
002OTHER (01)KYCIGNA
667357OTHER (01)KYHEALTHLINK
C72177MEDICARE UPIN (02)KY 
240007956MEDICARE ID-TYPE UNSPECIFIED (04)KYRAILROAD MEDICARE ID
100033340AMEDICAID (05)IN 

Medicare Participation & PECOS Enrollment Status

Thomas O'daniel 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

Reviews for DR. THOMAS G. O'DANIEL JR. 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 1871585018, 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
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
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 7 → 14 → 5 5 → 10 → 1 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 4 + 1 + 1 + 0 + 8 + 1 + 0 + 0 + 2 + 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 1871585018.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
222 S 1ST ST, SUITE 501
LOUISVILLE, KY 40202
Surgery (Plastic and Reconstructive Surgery)
222 S 1ST ST, SUITE 100
LOUISVILLE, KY 40202
Clinic/Center
222 S 1ST ST, SUITE 100
LOUISVILLE, KY 40202
Acupuncturist
222 S 1ST ST, 102
LOUISVILLE, KY 40202
Surgery (Plastic and Reconstructive Surgery)
222 S 1ST ST, SUITE 100
LOUISVILLE, KY 40202
Anesthesiology (Pain Medicine)
222 S 1ST ST, SUITE 300
LOUISVILLE, KY 40202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871585018, enumerated as an "individual" on August 15, 2005.

The provider is located at 222 S 1ST ST SUITE 100 LOUISVILLE, KY 40202 and the phone number is (502) 584-1109.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

The provider might be accepting Accepts: Anthem Blue Cross, Medicare, Medicaid, Tricare,. Please consult your insurance carrier or call the provider to verify.