SANDY J. KIMMEL, D.O., P.A.
NPI 1992821482
Specialist in Raleigh, NC

NPI Status: Active since March 22, 2007

Contact Information

3400 EXECUTIVE DR
SUITE 203
RALEIGH, NC
ZIP 27609
Phone: (919) 872-0390
Fax: (919) 872-0391

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  • Specialist

About SANDY J. KIMMEL, D.O., P.A.

This page provides the complete NPI Profile along with additional information for Sandy J. Kimmel, D.o., P.a., a provider established in Raleigh, North Carolina operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1992821482 assigned on March 2007. The practitioner's primary taxonomy code is 174400000X with license number 200400893 (NC). The provider is registered as an organization and their NPI record was last updated 15 years ago. Sandy J. Kimmel, D.o., P.a. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Bonnie Donleycott (Office Manager)

NPI
1992821482
Provider Name
SANDY J. KIMMEL, D.O., P.A.
Entity Type
Organization
Location Address
3400 EXECUTIVE DR SUITE 203 RALEIGH, NC 27609
Location Phone
(919) 872-0390
Location Fax
(919) 872-0391
Mailing Address
3400 EXECUTIVE DR SUITE 203 RALEIGH, NC 27609
Mailing Phone
(919) 872-0390
Mailing Fax
(919) 872-0391
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-22-2007
Last Update Date
01-12-2011
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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.
200400893
License State
NC
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 193200000X MULTI-SPECIALTY GROUP

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

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.

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. BONNIE DONLEYCOTT

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(919) 872-0390

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
1598714313OTHER (01)NCINDIVIDUAL NPI NUMBER
89137PCMEDICAID (05)NC 
I15766MEDICARE UPIN (02)NC 
2402208MEDICARE ID-TYPE UNSPECIFIED (04)NCMEDICARE PROVIDER NO.

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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 1992821482, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
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 8 → 16 → 7 1 → 2 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 + 8 + 2 + 1 + 6 + 2 + 2 + 4 + 1 + 6 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1992821482.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Family Medicine
3400 EXECUTIVE DR, SUITE 201
RALEIGH, NC 27609
Family Medicine
3400 EXECUTIVE DR, SUITE 102
RALEIGH, NC 27609
Psychiatry & Neurology (Neurology)
3400 EXECUTIVE DR, SUITE 203
RALEIGH, NC 27609
Psychologist
3400 EXECUTIVE DR, SUITE 205
RALEIGH, NC 27609
Dietitian, Registered
3400 EXECUTIVE DR
RALEIGH, NC 27609
Family Medicine
3400 EXECUTIVE DR, SUITE 101
RALEIGH, NC 27609
Physician Assistant (Medical)
3400 EXECUTIVE DR, SUITE 102
RALEIGH, NC 27609
Family Medicine
3400 EXECUTIVE DR, SUITE 201
RALEIGH, NC 27609
Nurse Practitioner (Family)
3400 EXECUTIVE DR
RALEIGH, NC 27609
Prosthetic/Orthotic Supplier
3400 EXECUTIVE DR, STE 102
RALEIGH, NC 27609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992821482, enumerated as an "organization" on March 22, 2007.

The provider is located at 3400 EXECUTIVE DR SUITE 203 RALEIGH, NC 27609 and the phone number is (919) 872-0390.

Specialist with taxonomy code 174400000X.

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