CMS-1500 Box 24J / 33a • NPI
1215165477
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2080P0203X (CMS 37)
Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)
Box 32 Service Location & ZIP+4
600 HIGHLAND AVE, MADISON, WI, 53792-0001
✓ 9-Digit EDI 837 ZIP+4 (53792-0001)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1215165477 (AWNI M AL-SUBU, 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1215165477 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AWNI M AL-SUBU, MD |
| Plain-English Specialty | Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: 2080P0203X (Pediatrics, Pediatric Critical Care Medicine) |
| Certifying / Licensing Body | American Board of Pediatrics (ABP) |
| Practice Location Address | 600 HIGHLAND AVE, MADISON, WI, 53792-0001 |
| Practice Telephone / Fax | Tel: (608) 263-8049 | Fax: (608) 261-5450 |
| Administrative Mailing Address | 7974 UW HEALTH CT, MIDDLETON, WI, 53562-5531 |
| Enumeration & Last Sync | Enumerated: 2009-06-26 | CMS Record Updated: 2021-01-21 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2080P0203X)
What Does Taxonomy Code 2080P0203X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2080P0203X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AWNI M AL-SUBU, 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 |
|---|---|
2080P0203X — Pediatrics, Pediatric Critical Care MedicinePlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: WI | License: 64010-20 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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