PEYAPONG PATANAPHAN, M.D., PA
NPI 1992961148
Specialist in Randallstown, MD

NPI Status: Active since August 06, 2008

Contact Information

5400 OLD COURT RD
SUITE 101
RANDALLSTOWN, MD
ZIP 21133
Phone: (410) 922-1661
Fax: (410) 922-0365

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  • Organization
  • Specialist

About PEYAPONG PATANAPHAN, M.D., PA

This page provides the complete NPI Profile along with additional information for Peyapong Patanaphan, M.d., Pa, a provider established in Randallstown, Maryland operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1992961148 assigned on August 2008. The practitioner's primary taxonomy code is 174400000X with license number D21797 (MD). The provider is registered as an organization and their NPI record was last updated 17 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 other name is Peyapong Patanaphan, M.d., Pa. The authorized official of this NPI record is Pat Tana M.d., Pa (Owner)

NPI
1992961148
Provider Legal Name
PAT TANA, M.D., PA
Other Organization Name
PEYAPONG PATANAPHAN, M.D., PA
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
5400 OLD COURT RD SUITE 101 RANDALLSTOWN, MD 21133
Location Phone
(410) 922-1661
Location Fax
(410) 922-0365
Mailing Address
5400 OLD COURT RD SUITE 101 RANDALLSTOWN, MD 21133
Mailing Phone
(410) 922-1661
Mailing Fax
(410) 922-0365
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-06-2008
Last Update Date
01-07-2009
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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.
D21797
License State
MD
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:

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

PAT TANA M.D., PA

Authorized Official Title
OWNER
Authorized Official Phone
(410) 922-1661

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
C61439MEDICARE UPIN (02)MD 
6653MEDICARE PIN (08)MD 
979801300MEDICAID (05)MD 

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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 1992961148, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
8
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 9 → 18 → 9 1 → 2 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 + 8 + 2 + 1 + 8 + 6 + 2 + 1 + 8 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1992961148.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Specialist
5400 OLD COURT RD, SUITE 206
RANDALLSTOWN, MD 21133
Surgery
5400 OLD COURT RD, SUITE 208
RANDALLSTOWN, MD 21133
Pediatrics
5400 OLD COURT RD, SUITE 105
RANDALLSTOWN, MD 21133
Pediatrics
5400 OLD COURT RD, SUITE 105
RANDALLSTOWN, MD 21133
Pediatrics
5400 OLD COURT RD, SUITE 105
RANDALLSTOWN, MD 21133
General Practice
5400 OLD COURT RD, SUITE 201
RANDALLSTOWN, MD 21133
Specialist
5400 OLD COURT RD, SUITE 302
RANDALLSTOWN, MD 21133
Specialist
5400 OLD COURT RD, SUITE 207
RANDALLSTOWN, MD 21133
Clinic/Center (Primary Care)
5400 OLD COURT RD, SUITE 204
RANDALLSTOWN, MD 21133
Psychiatry & Neurology (Neurology)
5400 OLD COURT RD, SUITE 206
RANDALLSTOWN, MD 21133
Clinic/Center (Primary Care)
5400 OLD COURT RD
RANDALLSTOWN, MD 21133
Internal Medicine
5400 OLD COURT RD, SUITE 204
RANDALLSTOWN, MD 21133
Obstetrics & Gynecology
5400 OLD COURT RD, SUITE 302
RANDALLSTOWN, MD 21133
Nursing Care
5400 OLD COURT RD, SUITE # 304
RANDALLSTOWN, MD 21133
Nurse Practitioner (Primary Care)
5400 OLD COURT RD
RANDALLSTOWN, MD 21133
Clinic/Center (Adult Day Care)
5400 OLD COURT RD
RANDALLSTOWN, MD 21133
Clinic/Center (Rehabilitation, Substance Use Disorder)
5400 OLD COURT RD
RANDALLSTOWN, MD 21133
Case Management
5400 OLD COURT RD
RANDALLSTOWN, MD 21133
Community/Behavioral Health
5400 OLD COURT RD
RANDALLSTOWN, MD 21133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992961148, enumerated as an "organization" on August 06, 2008.

The provider is located at 5400 OLD COURT RD SUITE 101 RANDALLSTOWN, MD 21133 and the phone number is (410) 922-1661.

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.