CMS-1500 Box 24J / 33a • NPI
1447723598
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
208D00000X (CMS 01)
Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice
Box 32 Service Location & ZIP+4
2836 E INDIAN SCHOOL RD STE A8, PHOENIX, AZ, 85016-6864
✓ 9-Digit EDI 837 ZIP+4 (85016-6864)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1447723598 (28TH STREET MEDICAL GROUP, LLC) 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 | 1447723598 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 28TH STREET MEDICAL GROUP, LLC |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice NUCC Code: 208D00000X (General Practice) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2836 E INDIAN SCHOOL RD STE A8, PHOENIX, AZ, 85016-6864 |
| Practice Telephone / Fax | Tel: (602) 840-0056 | Fax: (480) 926-2260 |
| Administrative Mailing Address | PO BOX 6610, CHANDLER, AZ, 85246-6610 |
| Enumeration & Last Sync | Enumerated: 2019-01-10 | CMS Record Updated: 2023-01-05 |
| Authorized Official | RADMAN RAHIMINEJAD (Owner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208D00000X)
What Does Taxonomy Code 208D00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208D00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (28TH STREET MEDICAL GROUP, LLC)
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 |
|---|---|
111N00000X — ChiropractorPlain English: Licensed & Credentialed Chiropractic Providers — Chiropractor | State: N/A | License: Verified | Primary: Secondary |
208100000X — Physical Medicine & RehabilitationPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation | State: N/A | License: Verified | Primary: Secondary |
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: N/A | License: Verified | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: N/A | License: Verified | Primary: Secondary |
208D00000X — General PracticePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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