MMI SCRIPT HUB & MEDICAL SUPPLIES — NPI 1063884146 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1063884146

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208D00000X (CMS 01)

Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice

Box 32 Service Location & ZIP+4

1768 STORRS RD, STORRS, CT, 06268-1260

✓ 9-Digit EDI 837 ZIP+4 (06268-1260)

Practice Phone & Referral Fax

(860) 477-0961

Fax: (860) 477-0962

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063884146 (MMI SCRIPT HUB & MEDICAL SUPPLIES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1063884146` (NPI-2 Organization / Facility)
Provider / Legal Name	MMI SCRIPT HUB & MEDICAL SUPPLIES
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice NUCC Code: `208D00000X` (General Practice)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1768 STORRS RD, STORRS, CT, 06268-1260
Practice Telephone / Fax	Tel: (860) 477-0961 \| Fax: (860) 477-0962
Administrative Mailing Address	48A MOOSUP VALLEY ROAD, FOSTER, RI, 02825-1236
Enumeration & Last Sync	Enumerated: 2015-10-28 \| CMS Record Updated: 2018-04-17
Authorized Official	RICKY MCCULLOUGH (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1768 STORRS RD, STORRS, CT, 06268-1260

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Plain-English Taxonomy & CMS Crosswalk (208D00000X)

What Does Taxonomy Code 208D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208D00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 01 (Physician/General Practice) • CMS Code 99 (Physician/Undefined Physician type[6])
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified General Practice for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MMI SCRIPT HUB & MEDICAL SUPPLIES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RX0202X` — Internal Medicine, Medical Oncology Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`207VX0201X` — Obstetrics & Gynecology, Gynecologic Oncology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`2085R0001X` — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology	State: N/A \| License: `Verified` \| Primary: Secondary
`332B00000X` — Durable Medical Equipment & Medical Supplies Plain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies	State: N/A \| License: `Verified` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: RI \| License: `MD06257` \| Primary: Secondary
`125Q00000X` — Oral Medicine Plain English: Licensed & Credentialed Oral Medicine	State: N/A \| License: `Verified` \| Primary: Secondary
`207PE0004X` — Emergency Medicine, Emergency Medical Services Plain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)	State: MA \| License: `52697` \| Primary: Secondary
`208D00000X` — General Practice Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice	State: RI \| License: `MD06257` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MMI SCRIPT HUB & MEDICAL SUPPLIES (NPI #1063884146)