GEM STATE PEDIATRICS
NPI 1992853386
Pediatrics in Meridian, ID

NPI Status: Active since January 08, 2007

Contact Information

520 S EAGLE RD
SUITE 1209
MERIDIAN, ID
ZIP 83642
Phone: (208) 706-5460
Fax: (208) 706-5465

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  • Organization
  • Pediatrics

About GEM STATE PEDIATRICS

This page provides the complete NPI Profile along with additional information for Gem State Pediatrics, a pediatrician established in Meridian, Idaho operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1992853386 assigned on January 2007. The practitioner's primary taxonomy code is 208000000X with license number M5562 (ID). The provider is registered as an organization and their NPI record was last updated 6 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 authorized official of this NPI record is Dr. Mario Brus Md (Owner)

NPI
1992853386
Provider Name
GEM STATE PEDIATRICS
Entity Type
Organization
Location Address
520 S EAGLE RD SUITE 1209 MERIDIAN, ID 83642
Location Phone
(208) 706-5460
Location Fax
(208) 706-5465
Mailing Address
520 S EAGLE RD SUITE 1209 MERIDIAN, ID 83642
Mailing Phone
(208) 706-5460
Mailing Fax
(208) 706-5465
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2007
Last Update Date
08-22-2020
Code Navigator

A pediatrician like Gem State Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
M5562
License State
ID
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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:

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.

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

DR. MARIO BRUS MD

Authorized Official Title
OWNER
Authorized Official Phone
(208) 706-5460

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
000010001341OTHER (01)IDBLUE SHIELD OF IDAHO
57885OTHER (01)IDBLUE CROSS OF IDAHO

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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 1992853386, 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 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
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 8 → 16 → 7 3 → 6 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 + 5 + 6 + 3 + 1 + 6 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1992853386.

Other Providers at the Same Location


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

Pharmacist
520 S EAGLE RD, SUITE 100 O/P PHARMACY
MERIDIAN, ID 83642
Obstetrics & Gynecology
520 S EAGLE RD, #2207
MERIDIAN, ID 83642
Surgery
520 S EAGLE RD, STE 1239
MERIDIAN, ID 83642
Internal Medicine
520 S EAGLE RD, STE 3102
MERIDIAN, ID 83642
Internal Medicine
520 S EAGLE RD, STE 3102
MERIDIAN, ID 83642
Urology
520 S EAGLE RD, SUITE 3112
MERIDIAN, ID 83642
Internal Medicine
520 S EAGLE RD, SUITE 1221
MERIDIAN, ID 83642
Urology
520 S EAGLE RD, STE 3112
MERIDIAN, ID 83642
Otolaryngology (Plastic Surgery within the Head & Neck)
520 S EAGLE RD, #1223
MERIDIAN, ID 83642
Family Medicine
520 S EAGLE RD, SUITE 1241
MERIDIAN, ID 83642
Nurse Anesthetist, Certified Registered
520 S EAGLE RD, SUITE 3104
MERIDIAN, ID 83642
Nurse Anesthetist, Certified Registered
520 S EAGLE RD, SUITE 3104
MERIDIAN, ID 83642
Nurse Anesthetist, Certified Registered
520 S EAGLE RD, SUITE 3104
MERIDIAN, ID 83642
Nurse Anesthetist, Certified Registered
520 S EAGLE RD, SUITE 3104
MERIDIAN, ID 83642
Nurse Anesthetist, Certified Registered
520 S EAGLE RD, SUITE 3104
MERIDIAN, ID 83642
Internal Medicine (Cardiovascular Disease)
520 S EAGLE RD, STE 2205
MERIDIAN, ID 83642
Nurse Anesthetist, Certified Registered
520 S EAGLE RD, SUITE 3104
MERIDIAN, ID 83642
Family Medicine
520 S EAGLE RD, SUITE 1241
MERIDIAN, ID 83642
Obstetrics & Gynecology
520 S EAGLE RD, SUITE 3209
MERIDIAN, ID 83642
Physician Assistant (Medical)
520 S EAGLE RD, SUITE 1241
MERIDIAN, ID 83642

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992853386, enumerated as an "organization" on January 08, 2007.

The provider is located at 520 S EAGLE RD SUITE 1209 MERIDIAN, ID 83642 and the phone number is (208) 706-5460.

Pediatrics with taxonomy code 208000000X.

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