ETHAN ANDREW AHO — NPI 1386405108 (Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) in DETROIT LAKES, MN)

CMS-1500 Box 24J / 33a • NPI

1386405108

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

174400000X

Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)

Box 32 Service Location & ZIP+4

1041 HAWK ST, DETROIT LAKES, MN, 56501-6958

✓ 9-Digit EDI 837 ZIP+4 (56501-6958)

Practice Phone & Referral Fax

(218) 287-4338

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1386405108 (ETHAN ANDREW AHO) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1386405108` (NPI-1 Individual Practitioner)
Provider / Legal Name	ETHAN ANDREW AHO
Plain-English Specialty	Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: `174400000X` (Specialist)
Certifying / Licensing Body	American Board of Pediatrics (ABP)
Practice Location Address	1041 HAWK ST, DETROIT LAKES, MN, 56501-6958
Practice Telephone / Fax	Tel: (218) 287-4338
Administrative Mailing Address	1547 30TH AVE S, MOORHEAD, MN, 56560-5149
Enumeration & Last Sync	Enumerated: 2024-01-18 \| CMS Record Updated: 2024-09-12

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1041 HAWK ST, DETROIT LAKES, MN, 56501-6958

🗺️ Open in Google Maps 🏥 More Providers in DETROIT LAKES

🔒 Are you ETHAN ANDREW AHO? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (174400000X)

What Does Taxonomy Code 174400000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 174400000X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: American Board of Pediatrics (ABP)
Clinical Scope: Newborn jaundice screening, routine childhood vaccinations, developmental milestones, pediatric fevers, ear infections, asthma, or acute gastroenteritis.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ETHAN ANDREW AHO)

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

Common Therapeutic Classes:

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
`106S00000X` — Behavior Technician Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Technician	State: N/A \| License: `Verified` \| Primary: Secondary
`174400000X` — Specialist Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

ETHAN ANDREW AHO (NPI #1386405108)