CMS-1500 Box 24J / 33a • NPI
1104827211
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RC0000X (CMS 06)
Board-Certified Cardiologist (Heart & Blood Vessel Specialist)
Box 32 Service Location & ZIP+4
1100 NEAL ZICK RD, WILLARD, OH, 44890-9287
✓ 9-Digit EDI 837 ZIP+4 (44890-9287)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104827211 (MICHAEL L. AMALFITANO, D.O.) 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
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1104827211)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amiodarone Hcl Amiodarone Hcl | 16 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 52 | 21 |
| Atorvastatin Calcium Atorvastatin Calcium | 84 | 35 |
| Carvedilol Carvedilol | 41 | 15 |
| Clopidogrel Clopidogrel Bisulfate | 15 | <11 |
| Diltiazem 24hr Er (Cd) Diltiazem Hcl | 18 | <11 |
| Eliquis Apixaban | 99 | 31 |
| Entresto Sacubitril/Valsartan | 28 | 11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104827211 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MICHAEL L. AMALFITANO, D.O. |
| Plain-English Specialty | Board-Certified Cardiologist (Heart & Blood Vessel Specialist) NUCC Code: 207RC0000X (Internal Medicine, Cardiovascular Disease) |
| Certifying / Licensing Body | American Board of Internal Medicine — Cardiovascular Disease |
| Practice Location Address | 1100 NEAL ZICK RD, WILLARD, OH, 44890-9287 |
| Practice Telephone / Fax | Tel: (419) 694-5080 | Fax: (419) 694-5080 |
| Administrative Mailing Address | 1100 NEAL ZICK RD, WILLARD, OH, 44890-9287 |
| Enumeration & Last Sync | Enumerated: 2005-08-10 | CMS Record Updated: 2024-08-23 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RC0000X)
What Does Taxonomy Code 207RC0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RC0000X translates to:
"Board-Certified Cardiologist (Heart & Blood Vessel Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MICHAEL L. AMALFITANO, D.O.)
Typical CPT / Diagnostic Procedures:- Transthoracic Doppler Echocardiography (TTE — CPT 93306)
- 12-Lead Electrocardiogram (ECG) & Holter / Event Arrhythmia Monitoring
- Exercise Treadmill & Myocardial Perfusion Nuclear Stress Testing
- Diagnostic Coronary Angiography & Percutaneous Coronary Intervention (PCI)
- High-Intensity Statins (Atorvastatin, Rosuvastatin) & Ezetimibe
- Beta-Blockers (Metoprolol Succinate, Carvedilol, Bisoprolol)
- Sacubitril/Valsartan, Empagliflozin & Spironolactone (Heart Failure GDMT)
- Apixaban, Rivaroxaban & Clopidogrel (Atrial Fibrillation & Stent Thrombosis Prevention)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RC0000X — Internal Medicine, Cardiovascular DiseasePlain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist) | State: OH | License: 34.005299 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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