CMS-1500 Box 24J / 33a • NPI
1295645968
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
2084N0402X (CMS 13)
Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)
Box 32 Service Location & ZIP+4
2770 WILDBERRY DR, LOWELL, MI, 49331-8972
✓ 9-Digit EDI 837 ZIP+4 (49331-8972)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1295645968 (ALIA PEDIATRIC NEUROLOGY & EPILEPSY) 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 | 1295645968 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ALIA PEDIATRIC NEUROLOGY & EPILEPSY |
| Plain-English Specialty | Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) NUCC Code: 2084N0402X (Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology) |
| Certifying / Licensing Body | American Board of Psychiatry and Neurology (ABPN) |
| Practice Location Address | 2770 WILDBERRY DR, LOWELL, MI, 49331-8972 |
| Practice Telephone / Fax | Tel: (833) 463-8761 | Fax: (616) 226-4837 |
| Administrative Mailing Address | 2770 WILDBERRY DR, LOWELL, MI, 49331-8972 |
| Enumeration & Last Sync | Enumerated: 2026-09-08 | CMS Record Updated: 2026-09-08 |
| Authorized Official | ANASTASIA LUNIOVA (Owner) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2084N0402X)
What Does Taxonomy Code 2084N0402X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084N0402X translates to:
"Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALIA PEDIATRIC NEUROLOGY & EPILEPSY)
Typical CPT / Diagnostic Procedures:- Electroencephalography (EEG — CPT 95816) for Seizure & Epilepsy Evaluation
- Electromyography (EMG) & Nerve Conduction Studies (NCS)
- Lumbar Puncture & Cerebrospinal Fluid (CSF) Pressure/Analysis
- Acute Ischemic Stroke NIHSS Assessment & Neuroimaging Review
- CGRP Antagonists & Triptans (Sumatriptan, Rizatriptan) for Migraine
- Antiepileptic Drugs (Levetiracetam, Lamotrigine, Valproate)
- Levodopa/Carbidopa (Parkinson's Disease) & Gabapentin/Pregabalin (Neuropathy)
- Antiplatelet & Secondary Stroke Prevention Regimens
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2084E0001X — Psychiatry & Neurology, EpilepsyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: N/A | License: Verified | Primary: Secondary |
2084N0402X — Psychiatry & Neurology, Neurology with Special Qualifications in Child NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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