ALEXIS LANE, M.D., INC. — NPI 1194105973 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology

CMS-1500 Box 24J / 33a • NPI

1194105973

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207YS0123X (CMS 04)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Facial Plastic Surgery

Box 32 Service Location & ZIP+4

8055 VALENCIA ST, APTOS, CA, 95003-3954

✓ 9-Digit EDI 837 ZIP+4 (95003-3954)

Practice Phone & Referral Fax

(831) 688-8333

Fax: (831) 688-8272

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1194105973 (ALEXIS LANE, M.D., INC.) 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	`1194105973` (NPI-2 Organization / Facility)
Provider / Legal Name	ALEXIS LANE, M.D., INC.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Facial Plastic Surgery NUCC Code: `207YS0123X` (Otolaryngology, Facial Plastic Surgery)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	8055 VALENCIA ST, APTOS, CA, 95003-3954
Practice Telephone / Fax	Tel: (831) 688-8333 \| Fax: (831) 688-8272
Administrative Mailing Address	8055 VALENCIA ST, APTOS, CA, 95003-3954
Enumeration & Last Sync	Enumerated: 2015-06-05 \| CMS Record Updated: 2015-06-05
Authorized Official	ALEXIS LANE (President, S-Corp)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

8055 VALENCIA ST, APTOS, CA, 95003-3954

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Plain-English Taxonomy & CMS Crosswalk (207YS0123X)

What Does Taxonomy Code 207YS0123X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207YS0123X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Facial Plastic Surgery"

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, Facial Plastic Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALEXIS LANE, M.D., INC.)

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
`207YS0123X` — Otolaryngology, Facial Plastic Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Facial Plastic Surgery	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALEXIS LANE, M.D., INC. (NPI #1194105973)