CMS-1500 Box 24J / 33a • NPI
1467864371
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207RP1001X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
1535 N CHINA LAKE BLVD STE B, RIDGECREST, CA, 93555-2667
✓ 9-Digit EDI 837 ZIP+4 (93555-2667)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1467864371 (ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP) 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 | 1467864371 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RP1001X (Internal Medicine, Pulmonary Disease) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 1535 N CHINA LAKE BLVD STE B, RIDGECREST, CA, 93555-2667 |
| Practice Telephone / Fax | Tel: (760) 446-4656 | Fax: (760) 446-4656 |
| Administrative Mailing Address | 1535 N CHINA LAKE BLVD STE B, RIDGECREST, CA, 93555-2667 |
| Enumeration & Last Sync | Enumerated: 2014-05-27 | CMS Record Updated: 2014-05-27 |
| Authorized Official | SYED AHMED (Owner/Partner) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RP1001X)
What Does Taxonomy Code 207RP1001X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RP1001X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RP1001X — Internal Medicine, Pulmonary DiseasePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: CA | License: A87434 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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