MYSTI BLU LLC
MYSTI BLU LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1609550219, based in Carrollton, TX. The organization lists 5 taxonomy classifications, with Infusion Therapy Clinic/Center recorded as primary.
Getting there
The practice address on file is 2459 E. HEBRON PARKWAY #130, Carrollton, TX 75010. 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
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 5799137972
- Enrollment ID
- O20240124000185
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Infusion Therapy covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QI0500X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QI0500X | Infusion Therapy Clinic/Center Infusion Therapy | — | — | primary |
| 207Q00000X | Family Medicine Physician | — | — | |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician Geriatric Medicine | — | — | |
| 251F00000X | Home Infusion Agency | — | — | |
| 261QM1300X | Multi-Specialty Clinic/Center Multi-Specialty | — | — |
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-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1609550219 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 14, 2023 |
| Last updated | Mar 17, 2025 |
| Status | Active |
| Practice address |
2459 E. HEBRON PARKWAY #130 Carrollton, TX 75010 (972) 522-9799 Fax (469) 546-9723 |
| Mailing address |
3333 PRESTON ROAD #300 Frisco, TX 75034 |
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 | 6 | 0 | 9 | 5 | 5 | 0 | 2 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 0 | 9 | 1 | 5 | 0 | 2 | 2 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
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.