ADOBE E.N.T. & ALLERGY — NPI 1083667521 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck in MESA, AZ)

CMS-1500 Box 24J / 33a • NPI

1083667521

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207YX0007X (CMS 04)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck

Box 32 Service Location & ZIP+4

116 N. LINDSAY RD, STE. #2, MESA, AZ, 85213

Official NPPES Practice Location

Practice Phone & Referral Fax

(480) 649-8150

Fax: (480) 649-9905

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1083667521 (ADOBE E.N.T. & ALLERGY) 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	`1083667521` (NPI-2 Organization / Facility)
Provider / Legal Name	ADOBE E.N.T. & ALLERGY
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck NUCC Code: `207YX0007X` (Otolaryngology, Plastic Surgery within the Head & Neck)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	116 N. LINDSAY RD, STE. #2, MESA, AZ, 85213
Practice Telephone / Fax	Tel: (480) 649-8150 \| Fax: (480) 649-9905
Administrative Mailing Address	116 N. LINDSAY RD., MESA, AZ, 85213
Enumeration & Last Sync	Enumerated: 2006-05-18 \| CMS Record Updated: 2011-10-25
Authorized Official	RICHARD MICKLE (OWNER)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

116 N. LINDSAY RD, STE. #2, MESA, AZ, 85213

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Plain-English Taxonomy & CMS Crosswalk (207YX0007X)

What Does Taxonomy Code 207YX0007X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207YX0007X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 04 (Physician/Otolaryngology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Otolaryngology, Plastic Surgery within the Head & Neck for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADOBE E.N.T. & ALLERGY)

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
`174400000X` — Specialist Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: AZ \| License: `2767` \| Primary: Secondary
`207YX0007X` — Otolaryngology, Plastic Surgery within the Head & Neck Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck	State: AZ \| License: `2767` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADOBE E.N.T. & ALLERGY (NPI #1083667521)