CMS-1500 Box 24J / 33a • NPI
1093948739
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
163WP0200X
Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)
Box 32 Service Location & ZIP+4
2850 S INDUSTRIAL HWY STE 75, ANN ARBOR, MI, 48104-6796
✓ 9-Digit EDI 837 ZIP+4 (48104-6796)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1093948739 (TONI LORETTA ALBAUGH, BSN) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1093948739 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | TONI LORETTA ALBAUGH, BSN |
| Plain-English Specialty | Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: 163WP0200X (Registered Nurse, Pediatrics) |
| Certifying / Licensing Body | American Board of Pediatrics (ABP) |
| Practice Location Address | 2850 S INDUSTRIAL HWY STE 75, ANN ARBOR, MI, 48104-6796 |
| Practice Telephone / Fax | Tel: (734) 477-7298 |
| Administrative Mailing Address | 3502 CRESTONE WAY, TECUMSEH, MI, 49286-9416 |
| Enumeration & Last Sync | Enumerated: 2009-08-28 | CMS Record Updated: 2009-08-28 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (163WP0200X)
What Does Taxonomy Code 163WP0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WP0200X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (TONI LORETTA ALBAUGH, BSN)
Typical CPT / Diagnostic Procedures:- Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
- Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
- Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
- Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
- Pediatric Asthma Nebulization & Spirometry Evaluation
- Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
- WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
- Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
- Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
163WP0200X — Registered Nurse, PediatricsPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: MI | License: 4704266723 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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