DR. VLADIMIR GRESSEL MD
NPI 1881651024
Physical Medicine & Rehabilitation in Greentown, PA
NPI Status: Active since May 01, 2006
Contact Information
109 HEMLOCK TER S
GREENTOWN, PA
ZIP 18426
Phone: (570) 676-4194
- Individual
- Male
- Physical Medicine & Rehabilitation
- PECOS Enrolled
- Medicare Quality Reporting
About VLADIMIR GRESSEL
This page provides the complete NPI Profile along with additional information for Vladimir Gressel, a provider established in Greentown, Pennsylvania with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1881651024 assigned on May 2006. The practitioner's primary taxonomy code is 208100000X with license number 203933 (NY). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1881651024
- Provider Name
- DR. VLADIMIR GRESSEL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 109 HEMLOCK TER S GREENTOWN, PA 18426
- Location Phone
- (570) 676-4194
- Mailing Address
- 109 HEMLOCK TER S GREENTOWN, PA 18426
- Mailing Phone
- (570) 676-4194
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-01-2006
- Last Update Date
- 01-12-2016
- Code Navigator
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
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 203933
- License State
- NY
- 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.
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 |
|---|---|---|---|
| P836019 | OTHER (01) | NY | OXFORD |
| 0T5541 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY | |
| 113414745 | OTHER (01) | NY | UNITED HEALTHCARE |
| 204666 | OTHER (01) | NY | WELLCARE |
| 0T5541 | OTHER (01) | NY | BCBS |
| 203933 | OTHER (01) | NY | HIP |
| G45347 | MEDICARE UPIN (02) | NY | |
| 1C5997 | OTHER (01) | NY | HEALTHNET |
| 5015626 | OTHER (01) | NY | AETNA PPO |
| BK0078803 | OTHER (01) | NY | AMERICHOICE WE |
| 01739977 | MEDICAID (05) | NY | |
| 1134147456GR01 | OTHER (01) | NY | CAREPLUS HEALTH PLAN |
| GV3933 | OTHER (01) | NY | ATLANTIS |
| P00000019516 | OTHER (01) | NY | GHI MEDICARE |
| 113414745 | OTHER (01) | NY | MULTIPLAN |
| 2216966 | OTHER (01) | NY | AETNA HMO |
| 2799767 | OTHER (01) | NY | GHI |
| BK0078801 | OTHER (01) | NY | AMERICHOICE PA |
| VG00T55400 | OTHER (01) | NY | EMPIRE BCBS |
Medicare Participation & PECOS Enrollment Status
Vladimir Gressel 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
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 |
|---|---|---|
| Care Plan | 100% | 38 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
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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 1881651024, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881651024, enumerated as an "individual" on May 01, 2006.
The provider is located at 109 HEMLOCK TER S GREENTOWN, PA 18426 and the phone number is (570) 676-4194.
Physical Medicine & Rehabilitation with taxonomy code 208100000X.
The provider might be accepting Accepts: Oxford Health Plans, Medicare, Medicaid, Wellcare,. Please consult your insurance carrier or call the provider to verify.
