CMS-1500 Box 24J / 33a • NPI
1194228916
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2080P0214X (CMS 37)
Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)
Box 32 Service Location & ZIP+4
30 N 1900 E RM 4C104, SALT LAKE CITY, UT, 84132-0002
✓ 9-Digit EDI 837 ZIP+4 (84132-0002)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1194228916 (CONRAD B. ADDISON, 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
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1194228916)
Medicare Beneficiaries
657
Total Billed Services
1,278
Distinct CPT/HCPCS Codes
15
Medicare Allowed Total
$126,054.64
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
94618 | Test for exercise-induced lung stress | 33 |
94762 | Test to measure oxygen level in blood using ear or finger device continuously overnight | 42 |
95806 | Sleep study including heart rate, breathing, airflow, and effort | 132 |
95810 | Sleep study in sleep lab (6 years or older) | 84 |
95810 | Sleep study in sleep lab (6 years or older) | 32 |
95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 196 |
95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 74 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 73 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Doxepin Hcl Doxepin Hcl | 32 | 12 |
| Zolpidem Tartrate Zolpidem Tartrate | 93 | 68 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1194228916 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CONRAD B. ADDISON, MD |
| Plain-English Specialty | Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: 2080P0214X (Pediatrics, Pediatric Pulmonology) |
| Certifying / Licensing Body | American Board of Pediatrics (ABP) |
| Practice Location Address | 30 N 1900 E RM 4C104, SALT LAKE CITY, UT, 84132-0002 |
| Practice Telephone / Fax | Tel: (801) 408-1618 |
| Administrative Mailing Address | 30 N 1900 E RM 4C104, SALT LAKE CITY, UT, 84132-0002 |
| Enumeration & Last Sync | Enumerated: 2018-03-18 | CMS Record Updated: 2026-06-30 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2080P0214X)
What Does Taxonomy Code 2080P0214X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2080P0214X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CONRAD B. ADDISON, MD)
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 |
|---|---|
207RS0012X — Internal Medicine, Sleep MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: UT | License: 12229852-1205 | Primary: Secondary |
2080P0214X — Pediatrics, Pediatric PulmonologyPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: UT | License: 12229852-1205 | Primary: Yes (Primary) |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: MT | License: MED-RES-LIC-67459 | Primary: Secondary |
207RS0012X — Internal Medicine, Sleep MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: MT | License: 109458 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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