DANIEL GARBIN DI LUCA MD
NPI 1922462597
Student in an Organized Health Care Education/Training Program in Miami, FL

NPI Status: Active since April 11, 2016

Contact Information

1611 NW 12 AVENUE
MIAMI, FL
ZIP 33136
Phone: (305) 243-4323

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  • Individual
  • Male
  • Years of Experience 11
  • Student in an Organized Health Care Educ...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DANIEL GARBIN DI LUCA

This page provides the complete NPI Profile along with additional information for Daniel Garbin Di Luca, a primary care provider established in Miami, Florida with a medical specialization in Student In An Organized Health Care Education/training Program and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1922462597 assigned on April 2016. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1922462597
Provider Name
DANIEL GARBIN DI LUCA MD
Gender
Male
Entity Type
Individual
Location Address
1611 NW 12 AVENUE MIAMI, FL 33136
Location Phone
(305) 243-4323
Mailing Address
1120 NW 14TH STREET MIAMI, FL 33136
Mailing Phone
(305) 243-4323
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
04-11-2016
Last Update Date
02-06-2017
Code Navigator

A primary care provider (PCP) like Daniel Garbin Di Luca sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Insurance Plans Accepted

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

  • Cox HealthPlans Bronze Expanded Standard - EPO
  • Cox HealthPlans Bronze Preferred - EPO
  • Cox HealthPlans Gold Preferred - EPO
  • Cox HealthPlans Gold Standard - EPO
  • Cox HealthPlans Silver Connect - EPO
  • Cox HealthPlans Silver Preferred - EPO
  • Cox HealthPlans Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Daniel Garbin Di Luca is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Daniel Garbin Di Luca 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

  • PECOS PAC ID: 1052778784

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230612000429

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Daniel Garbin Di Luca is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
BARNES JEWISH HOSPITALONE BARNES-JEWISH HOSPITAL PLAZA
SAINT LOUIS, MO 63110
(314) 747-3000Acute Care Hospitals
MISSOURI BAPTIST MEDICAL CENTER3015 N BALLAS RD
TOWN AND COUNTRY, MO 63131
(314) 996-5000Acute Care Hospitals

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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 1922462597, 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
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 2 → 4 4 → 8 2 → 4 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 + 4 + 2 + 8 + 6 + 4 + 5 + 1 + 8 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1922462597.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Orthopaedic Surgery
1611 NW 12 AVENUE, REHAB BLDG 303
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1611 NW 12 AVENUE
MIAMI, FL 33136
Occupational Therapist
1611 NW 12 AVENUE, R143
MIAMI, FL 33136
Occupational Therapist
1611 NW 12 AVENUE
MIAMI, FL 33136
Occupational Therapist
1611 NW 12 AVENUE
MIAMI, FL 33136
Nurse Practitioner (Family)
1611 NW 12 AVENUE, EAST TOWER 6005
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12 AVENUE
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE
MIAMI, FL 33136
Internal Medicine
1611 NW 12 AVENUE
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE, DTC 318
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE, DEPARTMENT OF NEUROLOGICAL SURGERY
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVENUE
MIAMI, FL 33136

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922462597, enumerated as an "individual" on April 11, 2016.

The provider is located at 1611 NW 12 AVENUE MIAMI, FL 33136 and the phone number is (305) 243-4323.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Cox HealthPlans. Please consult your insurance carrier or call the provider to verify.

Daniel Garbin Di Luca is affiliated with: BARNES JEWISH HOSPITAL and MISSOURI BAPTIST MEDICAL CENTER.