ALEXANDER A HORBAL DO PLC — NPI 1467020040 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1467020040

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207K00000X (CMS 03)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology

Box 32 Service Location & ZIP+4

3016 W WACKERLY ST STE A, MIDLAND, MI, 48640-6960

✓ 9-Digit EDI 837 ZIP+4 (48640-6960)

Practice Phone & Referral Fax

(989) 631-1010

Fax: (866) 888-0854

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1467020040 (ALEXANDER A HORBAL DO PLC) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1467020040` (NPI-2 Organization / Facility)
Provider / Legal Name	ALEXANDER A HORBAL DO PLC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology NUCC Code: `207K00000X` (Allergy & Immunology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3016 W WACKERLY ST STE A, MIDLAND, MI, 48640-6960
Practice Telephone / Fax	Tel: (989) 631-1010 \| Fax: (866) 888-0854
Administrative Mailing Address	555 W WACKERLY ST STE 2675, MIDLAND, MI, 48640-4712
Enumeration & Last Sync	Enumerated: 2021-06-11 \| CMS Record Updated: 2026-04-10
Authorized Official	ALEXANDER HORBAL (Sole Member)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3016 W WACKERLY ST STE A, MIDLAND, MI, 48640-6960

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Plain-English Taxonomy & CMS Crosswalk (207K00000X)

What Does Taxonomy Code 207K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207K00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 03 (Physician/Allergy/ Immunology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Allergy & Immunology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALEXANDER A HORBAL DO PLC)

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

Common Therapeutic Classes:

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
`207K00000X` — Allergy & Immunology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALEXANDER A HORBAL DO PLC (NPI #1467020040)