MG DESALVO MD&GM GREMILLION MDAMC
NPI 1972623049
Specialist in Metairie, LA

NPI Status: Active since March 30, 2007

Contact Information

3645 HOUMA BLVD
METAIRIE, LA
ZIP 70006
Phone: (504) 885-4677
Fax: (504) 888-0549

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  • Organization
  • Specialist
  • Accepts Insurance

About MG DESALVO MD&GM GREMILLION MDAMC

This page provides the complete NPI Profile along with additional information for Mg Desalvo Md&gm Gremillion Mdamc, a provider established in Metairie, Louisiana operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1972623049 assigned on March 2007. The practitioner's primary taxonomy code is 174400000X with license number 207Y00000X (LA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Michael G. Desalvo, Md, A Med. Corp. The authorized official of this NPI record is Mrs. Cynthia M. Petta (Office Manage)

NPI
1972623049
Provider Legal Name
MG DESALVO MD&GM GREMILLION MDAMC
Other Organization Name
MICHAEL G. DESALVO, MD, A MED. CORP
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
3645 HOUMA BLVD METAIRIE, LA 70006
Location Phone
(504) 885-4677
Location Fax
(504) 888-0549
Mailing Address
3645 HOUMA BLVD METAIRIE, LA 70006
Mailing Phone
(504) 885-4677
Mailing Fax
(504) 888-0549
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2007
Last Update Date
12-31-2020
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
207Y00000X
License State
LA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
  • Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
  • Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
  • Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3400 - PPO
  • Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
  • Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
  • Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS
  • Signature Blue 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Signature Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Signature Blue Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Signature Blue Copay (PCP) 60/40 $6000 Standardized - POS
  • Signature Blue Copay (PCP) 75/55 $2000 Standardized - POS

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

MRS. CYNTHIA M. PETTA

Authorized Official Title
OFFICE MANAGE
Authorized Official Phone
(504) 885-4677

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
1149179MEDICAID (05)LA 

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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 1972623049, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
9
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 7 → 14 → 5 6 → 12 → 3 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 2 + 2 + 6 + 0 + 8 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1972623049.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Specialist
3645 HOUMA BLVD
METAIRIE, LA 70006
Otolaryngology
3645 HOUMA BLVD
METAIRIE, LA 70006
Otolaryngology
3645 HOUMA BLVD
METAIRIE, LA 70006
Physician Assistant
3645 HOUMA BLVD
METAIRIE, LA 70006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972623049, enumerated as an "organization" on March 30, 2007.

The provider is located at 3645 HOUMA BLVD METAIRIE, LA 70006 and the phone number is (504) 885-4677.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.