ACCELERATE MEDICAL, SC — NPI 1205589561 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine in BROOKFIELD, WI)

CMS-1500 Box 24J / 33a • NPI

1205589561

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208VP0000X (CMS 72)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine

Box 32 Service Location & ZIP+4

17495 W CAPITOL DR STE L, BROOKFIELD, WI, 53045-2059

✓ 9-Digit EDI 837 ZIP+4 (53045-2059)

Practice Phone & Referral Fax

(262) 264-6610

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1205589561 (ACCELERATE MEDICAL, SC) 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	`1205589561` (NPI-2 Organization / Facility)
Provider / Legal Name	ACCELERATE MEDICAL, SC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine NUCC Code: `208VP0000X` (N/A)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	17495 W CAPITOL DR STE L, BROOKFIELD, WI, 53045-2059
Practice Telephone / Fax	Tel: (262) 264-6610
Administrative Mailing Address	151 W MAIN ST STE 204, CANTON, GA, 30114-2751
Enumeration & Last Sync	Enumerated: 2022-01-27 \| CMS Record Updated: 2022-01-27
Authorized Official	JENNIFER HUEY (Administration)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

17495 W CAPITOL DR STE L, BROOKFIELD, WI, 53045-2059

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Plain-English Taxonomy & CMS Crosswalk (208VP0000X)

What Does Taxonomy Code 208VP0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208VP0000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 72 (Physician/Pain Management)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ACCELERATE MEDICAL, SC)

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
`208VP0000X` — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ACCELERATE MEDICAL, SC (NPI #1205589561)