CMS-1500 Box 24J / 33a • NPI
1467914259
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207YX0905X (CMS 04)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngology — Facial Plastic Surgery
Box 32 Service Location & ZIP+4
20325 N 51ST AVE, BLDG 7, STE 154, GLENDALE, AZ, 85308
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1467914259 (ADOBE ENT & ALLERGY, 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 | 1467914259 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADOBE ENT & ALLERGY, LLC |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngology — Facial Plastic Surgery NUCC Code: 207YX0905X (Otolaryngology, Otolaryngology/Facial Plastic Surgery) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 20325 N 51ST AVE, BLDG 7, STE 154, GLENDALE, AZ, 85308 |
| Practice Telephone / Fax | Tel: (623) 363-5480 |
| Administrative Mailing Address | 20325 N 51ST AVE, GLENDALE, AZ, 85308 |
| Enumeration & Last Sync | Enumerated: 2019-04-02 | CMS Record Updated: 2019-04-02 |
| Authorized Official | MICHAEL RODRIGUEZ (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207YX0905X)
What Does Taxonomy Code 207YX0905X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207YX0905X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngology — Facial Plastic Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADOBE ENT & ALLERGY, 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 |
|---|---|
207YX0602X — Otolaryngology, Otolaryngic AllergyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngic Allergy | State: N/A | License: Verified | Primary: Secondary |
231H00000X — AudiologistPlain English: Licensed & Credentialed Speech, Language and Hearing Service Providers — Audiologist | State: N/A | License: Verified | Primary: Secondary |
231HA2500X — Audiologist, Assistive Technology SupplierPlain English: Licensed & Credentialed Speech, Language and Hearing Service Providers — Audiologist — Assistive Technology Supplier | 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 |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: N/A | License: Verified | Primary: Secondary |
207YX0905X — Otolaryngology, Otolaryngology/Facial Plastic SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngology — Facial Plastic Surgery | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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