CMS-1500 Box 24J / 33a • NPI
1154532448
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207YP0228X (CMS 04)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Pediatric Otolaryngology
Box 32 Service Location & ZIP+4
4069 LAKE DR SE, SUITE 315, GRAND RAPIDS, MI, 49546-8816
✓ 9-Digit EDI 837 ZIP+4 (49546-8816)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1154532448 (CHAD AFMAN, MD) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1154532448 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CHAD AFMAN, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Pediatric Otolaryngology NUCC Code: 207YP0228X (Otolaryngology, Pediatric Otolaryngology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4069 LAKE DR SE, SUITE 315, GRAND RAPIDS, MI, 49546-8816 |
| Practice Telephone / Fax | Tel: (616) 267-7758 | Fax: (616) 267-7290 |
| Administrative Mailing Address | 100 MICHIGAN ST NE, GRAND RAPIDS, MI, 49503-2560 |
| Enumeration & Last Sync | Enumerated: 2007-05-25 | CMS Record Updated: 2021-02-22 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207YP0228X)
What Does Taxonomy Code 207YP0228X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207YP0228X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Pediatric Otolaryngology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CHAD AFMAN, MD)
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
- 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 |
|---|---|
207Y00000X — OtolaryngologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology | State: MI | License: 4301091223 | Primary: Secondary |
207YP0228X — Otolaryngology, Pediatric OtolaryngologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Pediatric Otolaryngology | State: MI | License: 4301091223 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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