MOBILE DOCTORS OF ST. LOUIS
NPI 1992057566
Internal Medicine - Geriatric Medicine in Saint Louis, MO

NPI Status: Active since October 08, 2012

Contact Information

10016 OFFICE CENTER AVE
SUITE 100
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 720-0855
Fax: (314) 735-4335

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  • Organization
  • Internal Medicine
  • Geriatric Medicine

About MOBILE DOCTORS OF ST. LOUIS

This page provides the complete NPI Profile along with additional information for Mobile Doctors Of St. Louis, an internist established in Saint Louis, Missouri operating as a Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1992057566 assigned on October 2012. The practitioner's primary taxonomy code is 207RG0300X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Mobile Doctors Of St. Louis operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Mobile Doctors Of St. Louis. The authorized official of this NPI record is Mr. Tysyn Contreras (Director Of Quality Assurance)

NPI
1992057566
Provider Legal Name
LAKE MI MOBILE DOCTORS, P.C.
Other Organization Name
MOBILE DOCTORS OF ST. LOUIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10016 OFFICE CENTER AVE SUITE 100 SAINT LOUIS, MO 63128
Location Phone
(314) 720-0855
Location Fax
(314) 735-4335
Mailing Address
3319 N ELSTON AVE SUITE 200 CHICAGO, IL 60618
Mailing Phone
(773) 751-7200
Mailing Fax
(314) 735-4335
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-08-2012
Last Update Date
10-08-2012
Code Navigator

An internist like Mobile Doctors Of St. Louis 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 Geriatric Medicine

Taxonomy Code
207RG0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

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)
1207QG0300XAllopathic & Osteopathic Physicians

Family Medicine
Geriatric Medicine

 
2213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MR. TYSYN CONTRERAS

Authorized Official Title
DIRECTOR OF QUALITY ASSURANCE
Authorized Official Phone
(773) 751-7200

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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 1992057566, 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
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 9 → 18 → 9 0 → 0 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 8 + 2 + 0 + 5 + 1 + 4 + 5 + 1 + 2 + 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 1992057566.

Other Providers at the Same Location


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

Podiatrist
10016 OFFICE CENTER AVE, SUITE 100
SAINT LOUIS, MO 63128
Specialist/Technologist Cardiovascular (Vascular Specialist)
10016 OFFICE CENTER AVE, SUITE 100A
SAINT LOUIS, MO 63128
Podiatrist
10016 OFFICE CENTER AVE, SUITE 100
SAINT LOUIS, MO 63128
Nurse's Aide
10016 OFFICE CENTER AVE
SAINT LOUIS, MO 63128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992057566, enumerated as an "organization" on October 08, 2012.

The provider is located at 10016 OFFICE CENTER AVE SUITE 100 SAINT LOUIS, MO 63128 and the phone number is (314) 720-0855.

Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.