MANREET S ATWAL — NPI 1073329736 (Licensed & Credentialed Supports Brokerage in STOCKTON, CA)

CMS-1500 Box 24J / 33a • NPI

1073329736

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

251X00000X

Licensed & Credentialed Supports Brokerage

Box 32 Service Location & ZIP+4

9552 BISMARK PL, STOCKTON, CA, 95209-1574

✓ 9-Digit EDI 837 ZIP+4 (95209-1574)

Practice Phone & Referral Fax

(209) 663-5776

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1073329736 (MANREET S ATWAL) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1073329736` (NPI-1 Individual Practitioner)
Provider / Legal Name	MANREET S ATWAL
Plain-English Specialty	Licensed & Credentialed Supports Brokerage NUCC Code: `251X00000X` (Supports Brokerage)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	9552 BISMARK PL, STOCKTON, CA, 95209-1574
Practice Telephone / Fax	Tel: (209) 663-5776
Administrative Mailing Address	2314 MEADOWBROOK DR, LODI, CA, 95242-4711
Enumeration & Last Sync	Enumerated: 2024-12-07 \| CMS Record Updated: 2025-06-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9552 BISMARK PL, STOCKTON, CA, 95209-1574

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Plain-English Taxonomy & CMS Crosswalk (251X00000X)

What Does Taxonomy Code 251X00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251X00000X translates to:
"Licensed & Credentialed Supports Brokerage"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Supports Brokerage for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MANREET S ATWAL)

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
`251X00000X` — Supports Brokerage Plain English: Licensed & Credentialed Supports Brokerage	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MANREET S ATWAL (NPI #1073329736)