DIANE ALICE ALBA — NPI 1154647121 (Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) in SOMERVILLE, MA)

CMS-1500 Box 24J / 33a • NPI

1154647121

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WG0100X

Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)

Box 32 Service Location & ZIP+4

230 HIGHLAND AVE, SOMERVILLE, MA, 02143-1408

✓ 9-Digit EDI 837 ZIP+4 (02143-1408)

Practice Phone & Referral Fax

(617) 591-4460

Fax: (617) 591-4566

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1154647121 (DIANE ALICE ALBA) 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	`1154647121` (NPI-1 Individual Practitioner)
Provider / Legal Name	DIANE ALICE ALBA
Plain-English Specialty	Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) NUCC Code: `163WG0100X` (Registered Nurse, Gastroenterology)
Certifying / Licensing Body	American Board of Internal Medicine — Gastroenterology
Practice Location Address	230 HIGHLAND AVE, SOMERVILLE, MA, 02143-1408
Practice Telephone / Fax	Tel: (617) 591-4460 \| Fax: (617) 591-4566
Administrative Mailing Address	230 HIGHLAND AVE, SOMERVILLE, MA, 02143-1408
Enumeration & Last Sync	Enumerated: 2010-04-15 \| CMS Record Updated: 2010-04-15

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

230 HIGHLAND AVE, SOMERVILLE, MA, 02143-1408

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Plain-English Taxonomy & CMS Crosswalk (163WG0100X)

What Does Taxonomy Code 163WG0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WG0100X translates to:
"Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: American Board of Internal Medicine — Gastroenterology
Clinical Scope: Rectal bleeding, hemorrhoids, persistent acid reflux, difficulty swallowing, jaundice (elevated bilirubin), fatty liver disease, or colon cancer screening.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DIANE ALICE ALBA)

Typical CPT / Diagnostic Procedures:

Screening & Diagnostic Colonoscopy with Polypectomy (CPT 45378–45385)
Esophagogastroduodenoscopy / Upper GI Endoscopy (EGD — CPT 43239)
Hepatic Elastography (FibroScan) & Fractionated Bilirubin/LFT Workup
Internal Hemorrhoid Banding & Anorectal Diagnostic Evaluation

Common Therapeutic Classes:

Proton Pump Inhibitors (Omeprazole, Pantoprazole, Esomeprazole)
H. pylori Quadruple & Triple Eradication Regimens
Mesalamine & Biologic Immunomodulators (Inflammatory Bowel Disease)
Osmotic Laxatives, Rifaximin & Ursodeoxycholic Acid

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WG0100X` — Registered Nurse, Gastroenterology Plain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)	State: MA \| License: `212972` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DIANE ALICE ALBA (NPI #1154647121)