ALFREDO AYO BANTUG, RRT — NPI 1477176931 (Licensed & Credentialed Respiratory Therapist, Registered in FORT DEFIANCE, AZ)

CMS-1500 Box 24J / 33a • NPI

1477176931

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

227900000X

Licensed & Credentialed Respiratory Therapist, Registered

Box 32 Service Location & ZIP+4

FORT DEFIANCE HOSPITAL, FORT DEFIANCE INDIAN HOSPITAL, FORT DEFIANCE, AZ, 86504-3166

✓ 9-Digit EDI 837 ZIP+4 (86504-3166)

Practice Phone & Referral Fax

(209) 665-5890

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1477176931 (ALFREDO AYO BANTUG, RRT) 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	`1477176931` (NPI-1 Individual Practitioner)
Provider / Legal Name	ALFREDO AYO BANTUG, RRT
Plain-English Specialty	Licensed & Credentialed Respiratory Therapist, Registered NUCC Code: `227900000X` (Respiratory Therapist, Registered)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	FORT DEFIANCE HOSPITAL, FORT DEFIANCE INDIAN HOSPITAL, FORT DEFIANCE, AZ, 86504-3166
Practice Telephone / Fax	Tel: (209) 665-5890
Administrative Mailing Address	3802 SHADY VILLAGE LN, SHAFTER, CA, 93263-3166
Enumeration & Last Sync	Enumerated: 2020-05-19 \| CMS Record Updated: 2022-07-21

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

FORT DEFIANCE HOSPITAL, FORT DEFIANCE INDIAN HOSPITAL, FORT DEFIANCE, AZ, 86504-3166

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Plain-English Taxonomy & CMS Crosswalk (227900000X)

What Does Taxonomy Code 227900000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 227900000X translates to:
"Licensed & Credentialed Respiratory Therapist, Registered"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Respiratory Therapist, Registered for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALFREDO AYO BANTUG, RRT)

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
`227900000X` — Respiratory Therapist, Registered Plain English: Licensed & Credentialed Respiratory Therapist, Registered	State: TX \| License: `15897` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALFREDO AYO BANTUG, RRT (NPI #1477176931)