SERGE N DEBUSTROS MD
NPI 1962402685
Ophthalmology - Retina Specialist in Harvey, IL

NPI Status: Active since July 22, 2005

Contact Information

71 W 156TH ST
SUITE 400
HARVEY, IL
ZIP 60426
Phone: (708) 596-8710
Fax: (708) 596-9820

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  • Individual
  • Male
  • Ophthalmology
  • Retina Specialist

About SERGE DEBUSTROS

This page provides the complete NPI Profile along with additional information for Serge Debustros, a provider established in Harvey, Illinois with a medical specialization in Ophthalmology, focusing in retina specialist . The healthcare provider is registered in the NPI registry with number 1962402685 assigned on July 2005. The practitioner's primary taxonomy code is 207WX0107X with license number 036081438 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1962402685
Provider Name
SERGE N DEBUSTROS MD
Gender
Male
Entity Type
Individual
Location Address
71 W 156TH ST SUITE 400 HARVEY, IL 60426
Location Phone
(708) 596-8710
Location Fax
(708) 596-9820
Mailing Address
11516 183RD PL STE SW ORLAND PARK, IL 60467
Mailing Phone
(708) 877-1300
Mailing Fax
(708) 596-9820
Is Sole Proprietor?
No
Enumeration Date
07-22-2005
Last Update Date
02-04-2022
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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

Ophthalmology Retina Specialist

Taxonomy Code
207WX0107X
Type
Allopathic & Osteopathic Physicians
License No.
036081438
License State
IL
Taxonomy Description
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

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)
1207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

036081438 (IL)
2207WX0107XAllopathic & Osteopathic Physicians

Ophthalmology
Retina Specialist

01038973A (IN)

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.

*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
036081438MEDICAID (05)IL 
180015436OTHER (01)ILRRMC
180012658OTHER (01)INRRMC

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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 1962402685, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 6 → 12 → 3 4 → 8 2 → 4 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 + 1 + 2 + 2 + 8 + 0 + 4 + 6 + 1 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1962402685.

Other Providers at the Same Location


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

Internal Medicine (Infectious Disease)
71 W 156TH ST, SUITE 305
HARVEY, IL 60426
Internal Medicine (Infectious Disease)
71 W 156TH ST, SUITE 305
HARVEY, IL 60426
Ophthalmology
71 W 156TH ST, STE 400
HARVEY, IL 60426
Otolaryngology
71 W 156TH ST, SUITE 107
HARVEY, IL 60426
Internal Medicine
71 W 156TH ST, SUITE 212
HARVEY, IL 60426
Internal Medicine (Interventional Cardiology)
71 W 156TH ST, STE 305
HARVEY, IL 60426
Internal Medicine (Cardiovascular Disease)
71 W 156TH ST
HARVEY, IL 60426
Internal Medicine (Cardiovascular Disease)
71 W 156TH ST, STE 305
HARVEY, IL 60426
Neurological Surgery
71 W 156TH ST, SUITE 205
HARVEY, IL 60426
Physical Therapy Assistant
71 W 156TH ST, SUITE 208
HARVEY, IL 60426
71 W 156TH ST, STE 208
HARVEY, IL 60426
Internal Medicine (Hematology & Oncology)
71 W 156TH ST, SUITE 401
HARVEY, IL 60426
Specialist
71 W 156TH ST, STE 210
HARVEY, IL 60426
Pain Medicine (Interventional Pain Medicine)
71 W 156TH ST, SUITE 205
HARVEY, IL 60426
Surgery
71 W 156TH ST, SUITE 309
HARVEY, IL 60426
Internal Medicine (Clinical Cardiac Electrophysiology)
71 W 156TH ST, SUITE 305
HARVEY, IL 60426
Internal Medicine
71 W 156TH ST, STE 311
HARVEY, IL 60426
Internal Medicine (Pulmonary Disease)
71 W 156TH ST, SUITE 203
HARVEY, IL 60426
Pharmacist
71 W 156TH ST, SUITE 104
HARVEY, IL 60426
Specialist
71 W 156TH ST, STE 210
HARVEY, IL 60426

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962402685, enumerated as an "individual" on July 22, 2005.

The provider is located at 71 W 156TH ST SUITE 400 HARVEY, IL 60426 and the phone number is (708) 596-8710.

Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.

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