MEDICAL DIAGNOSTIC SERVICES INC
NPI 1912169186
Radiology - Diagnostic Radiology in Waterford, MI

NPI Status: Active since June 30, 2008

Contact Information

4479 PONTIAC LAKE RD
SUITE 1D
WATERFORD, MI
ZIP 48328
Phone: (248) 499-7618
Fax: (248) 499-7644

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance

About MEDICAL DIAGNOSTIC SERVICES INC

This page provides the complete NPI Profile along with additional information for Medical Diagnostic Services Inc, a provider established in Waterford, Michigan operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1912169186 assigned on June 2008. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Shams U Siddiqui (President)

NPI
1912169186
Provider Name
MEDICAL DIAGNOSTIC SERVICES INC
Entity Type
Organization
Location Address
4479 PONTIAC LAKE RD SUITE 1D WATERFORD, MI 48328
Location Phone
(248) 499-7618
Location Fax
(248) 499-7644
Mailing Address
3701 JARVIS AVE SKOKIE, IL 60076
Mailing Phone
(847) 626-0800
Mailing Fax
(248) 499-7644
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-30-2008
Last Update Date
01-25-2015
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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)
1207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
22085U0001XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Ultrasound

 
3335V00000XSuppliers

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

 

Insurance Plans Accepted

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

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHAMS U SIDDIQUI

Authorized Official Title
PRESIDENT
Authorized Official Phone
(847) 626-0800

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
1912169186MEDICAID (05)MI 
0F38038OTHER (01)MIBCBS PIN
0H01066OTHER (01)MIBLUE CROSS BLUE SHIELD PIN
MI1728MEDICARE PIN (08)MI 

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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 1912169186, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 1 → 2 1 → 2 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 2 + 6 + 1 + 8 + 1 + 1 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1912169186.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physiological Laboratory
4479 PONTIAC LAKE RD, SUITE 1D
WATERFORD, MI 48328
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
4479 PONTIAC LAKE RD, SUITE 1D
WATERFORD, MI 48328

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912169186, enumerated as an "organization" on June 30, 2008.

The provider is located at 4479 PONTIAC LAKE RD SUITE 1D WATERFORD, MI 48328 and the phone number is (248) 499-7618.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.