DR. JESSE PULLEN PENICO MD
NPI 1912904590
Internal Medicine - Infectious Disease in Gulfport, MS

NPI Status: Active since June 28, 2005

Contact Information

1340 BROAD AVE
SUITE 300
GULFPORT, MS
ZIP 39501
Phone: (228) 575-2700
Fax: (228) 575-2709

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  • Individual
  • Male
  • Internal Medicine
  • Infectious Disease
  • Accepts Insurance

About JESSE PENICO

This page provides the complete NPI Profile along with additional information for Jesse Penico, an internist established in Gulfport, Mississippi with a medical specialization in Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1912904590 assigned on June 2005. The practitioner's primary taxonomy code is 207RI0200X with license number 21358 (MS). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1912904590
Provider Name
DR. JESSE PULLEN PENICO MD
Gender
Male
Entity Type
Individual
Location Address
1340 BROAD AVE SUITE 300 GULFPORT, MS 39501
Location Phone
(228) 575-2700
Location Fax
(228) 575-2709
Mailing Address
PO BOX 1810 GULFPORT, MS 39502
Mailing Phone
(228) 575-2700
Mailing Fax
(228) 575-2709
Is Sole Proprietor?
No
Enumeration Date
06-28-2005
Last Update Date
09-22-2020
Code Navigator

An internist like Jesse Penico is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine Infectious Disease

Taxonomy Code
207RI0200X
Type
Allopathic & Osteopathic Physicians
License No.
21358
License State
MS
Taxonomy Description
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

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)
1207RI0200XAllopathic & Osteopathic Physicians

Internal Medicine
Infectious Disease

ME72349 (FL)
2207RI0200XAllopathic & Osteopathic Physicians

Internal Medicine
Infectious Disease

015311 (LA)

Insurance Plans Accepted

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

  • Molina Gold Standard - HMO
  • Molina Silver Standard - HMO

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
1339181MEDICAID (05)LA 
00112089MEDICAID (05)MS 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 15 times for 14 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 111 times for 79 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 172 times for 87 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 378 times for 127 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 41 times for 27 patients

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

This service was performed 14 times for 14 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 35 times for 35 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 35 times for 34 patients

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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 1912904590, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
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 9 → 18 → 9 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 1 + 8 + 0 + 8 + 5 + 1 + 8 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1912904590.

Other Providers at the Same Location


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

Internal Medicine (Medical Oncology)
1340 BROAD AVE, SUITE 270
GULFPORT, MS 39501
Specialist
1340 BROAD AVE, SUITE 270
GULFPORT, MS 39501
Physical Medicine & Rehabilitation
1340 BROAD AVE, SUITE 440
GULFPORT, MS 39501
Neurological Surgery
1340 BROAD AVE, STE. 440
GULFPORT, MS 39501
Internal Medicine
1340 BROAD AVE, SUITE 310
GULFPORT, MS 39501
Urology
1340 BROAD AVE, SUITE 210
GULFPORT, MS 39501
Neurological Surgery
1340 BROAD AVE, SUITE 440
GULFPORT, MS 39501
Nurse Practitioner (Gerontology)
1340 BROAD AVE, SUITE 450
GULFPORT, MS 39501
Pain Medicine (Pain Medicine)
1340 BROAD AVE, STE 450
GULFPORT, MS 39501
Orthopaedic Surgery
1340 BROAD AVE, SUITE 450 O
GULFPORT, MS 39501
Radiology (Radiation Oncology)
1340 BROAD AVE, SUITE 140
GULFPORT, MS 39501
Urology
1340 BROAD AVE, STE 210
GULFPORT, MS 39501
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1340 BROAD AVE, SUITE 420
GULFPORT, MS 39501
Psychiatry & Neurology (Neurology)
1340 BROAD AVE, STE 440 N
GULFPORT, MS 39501
Surgery (Vascular Surgery)
1340 BROAD AVE, SUITE 400
GULFPORT, MS 39501
Internal Medicine
1340 BROAD AVE, SUITE 310
GULFPORT, MS 39501
Surgery
1340 BROAD AVE, SUITE 240 S
GULFPORT, MS 39501
Neurological Surgery
1340 BROAD AVE, SUITE 440
GULFPORT, MS 39501
Psychologist
1340 BROAD AVE, SUITE 450
GULFPORT, MS 39501
Social Worker
1340 BROAD AVE, STE 410
GULFPORT, MS 39501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912904590, enumerated as an "individual" on June 28, 2005.

The provider is located at 1340 BROAD AVE SUITE 300 GULFPORT, MS 39501 and the phone number is (228) 575-2700.

Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.