Pearl Lake
Pearl Lake is a provider specialising in Military Health Care Provider in Philadelphia, PA, registered under NPI 1053907261. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 2214 S 57TH ST, Philadelphia, PA 19143. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 7000.000000634RMA | PA | Military Health Care Provider primary |
| 70000634RMA | PA | Military Health Care Provider |
This provider holds licence 7000.000000634RMA issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Military Health Care Provider covers
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. NUCC Health Care Provider Taxonomy, code 171000000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 171000000X | Military Health Care Provider | 7000.000000634RMA | PA | primary |
| 171000000X | Military Health Care Provider | 70000634RMA | PA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1053907261 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Dec 12, 2020 |
| Last updated | Dec 12, 2020 |
| Status | Active |
| Sole proprietor | Yes |
| Practice address |
2214 S 57TH ST Philadelphia, PA 19143 (886) 884-8807 Fax (215) 825-5161 |
| Mailing address |
2250 E MONMOUTH ST Philadelphia, PA 19134 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 5 | 3 | 9 | 0 | 7 | 2 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 1 | 3 | 9 | 0 | 5 | 2 | 3 |
Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.