CMS-1500 Box 24J / 33a • NPI
1346995271
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
204F00000X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Transplant Surgery
Box 32 Service Location & ZIP+4
510 20TH ST S, BIRMINGHAM, AL, 35233-2028
✓ 9-Digit EDI 837 ZIP+4 (35233-2028)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1346995271 (SERGIO ANDRES ACUNA MANCILLA, 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 #1346995271)
Medicare Beneficiaries
30
Total Billed Services
56
Distinct CPT/HCPCS Codes
17
Medicare Allowed Total
$13,022.62
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
50360 | Transplantation of donor kidney | 13 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Oxycodone Hcl Oxycodone Hcl | 77 | 72 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1346995271 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SERGIO ANDRES ACUNA MANCILLA, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Transplant Surgery NUCC Code: 204F00000X (Transplant Surgery) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 510 20TH ST S, BIRMINGHAM, AL, 35233-2028 |
| Practice Telephone / Fax | Tel: (205) 996-1178 |
| Administrative Mailing Address | 120 HOMEWOOD AVENUE, TORONTO, ONTARIO, M4Y 2J3 |
| Enumeration & Last Sync | Enumerated: 2022-02-18 | CMS Record Updated: 2024-02-01 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (204F00000X)
What Does Taxonomy Code 204F00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 204F00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Transplant Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SERGIO ANDRES ACUNA MANCILLA, MD)
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
- 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 |
|---|---|
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
204F00000X — Transplant SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Transplant Surgery | State: AL | License: 45760 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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