PAVAN KUMAR NOOTHETI M.D., FAAD
NPI 1912130287
Dermatology - MOHS-Micrographic Surgery in College Park, MD
NPI Status: Active since September 02, 2009
Contact Information
4700 BERWYN HOUSE RD
SUITE 108
COLLEGE PARK, MD
ZIP 20740
Phone: (858) 752-4459
- Individual
- Male
- Dermatology
- MOHS-Micrographic Surgery
About PAVAN NOOTHETI
This page provides the complete NPI Profile along with additional information for Pavan Nootheti, a provider established in College Park, Maryland with a medical specialization in Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1912130287 assigned on September 2009. The practitioner's primary taxonomy code is 207ND0101X with license number D73150 (MD). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1912130287
- Provider Name
- PAVAN KUMAR NOOTHETI M.D., FAAD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4700 BERWYN HOUSE RD SUITE 108 COLLEGE PARK, MD 20740
- Location Phone
- (858) 752-4459
- Mailing Address
- 1 STAPLEFORD HALL CT POTOMAC, MD 20854
- Mailing Phone
- (858) 752-4459
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-02-2009
- Last Update Date
- 01-05-2012
- 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
Dermatology MOHS-Micrographic Surgery
- Taxonomy Code
- 207ND0101X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D73150
- License State
- MD
- Taxonomy Description
- The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
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) |
|---|---|---|---|---|
| 1 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | A90335 (CA) |
| 2 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | D73150 (MD) |
| 3 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | MD33040 (DC) |
| 4 | 207ND0101X | Allopathic & Osteopathic Physicians | Dermatology | A90335 (CA) |
| 5 | 207ND0101X | Allopathic & Osteopathic Physicians | Dermatology | MD33040 (DC) |
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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 1912130287, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
COLLEGE PARK, MD 20740
COLLEGE PARK, MD 20740
COLLEGE PARK, MD 20740
COLLEGE PARK, MD 20740
COLLEGE PARK, MD 20740
COLLEGE PARK, MD 20740
COLLEGE PARK, MD 20740
COLLEGE PARK, MD 20740
COLLEGE PARK, MD 20740
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912130287, enumerated as an "individual" on September 02, 2009.
The provider is located at 4700 BERWYN HOUSE RD SUITE 108 COLLEGE PARK, MD 20740 and the phone number is (858) 752-4459.
Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.
