CMS-1500 Box 24J / 33a • NPI
1477201200
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
208G00000X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery)
Box 32 Service Location & ZIP+4
4445 S EASTERN AVE, LAS VEGAS, NV, 89119-7851
✓ 9-Digit EDI 837 ZIP+4 (89119-7851)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1477201200 (ACADEMIC CARDIOVASCULAR & THORACIC SURGERY) 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 | 1477201200 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ACADEMIC CARDIOVASCULAR & THORACIC SURGERY |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery) NUCC Code: 208G00000X (Thoracic Surgery (Cardiothoracic Vascular Surgery)) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4445 S EASTERN AVE, LAS VEGAS, NV, 89119-7851 |
| Practice Telephone / Fax | Tel: (702) 850-6850 | Fax: (855) 644-2960 |
| Administrative Mailing Address | 2736 KILDRUMMIE ST, HENDERSON, NV, 89044-0235 |
| Enumeration & Last Sync | Enumerated: 2022-03-10 | CMS Record Updated: 2022-05-15 |
| Authorized Official | ASHRAF OSMAN (President & CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208G00000X)
What Does Taxonomy Code 208G00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208G00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ACADEMIC CARDIOVASCULAR & THORACIC SURGERY)
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 |
|---|---|
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: N/A | License: Verified | Primary: Secondary |
2086S0102X — Surgery, Surgical Critical CarePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Critical Care | State: N/A | License: Verified | Primary: Secondary |
2086S0127X — Surgery, Trauma SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Trauma Surgery | State: N/A | License: Verified | Primary: Secondary |
2086S0129X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery | State: N/A | License: Verified | Primary: Secondary |
208G00000X — Thoracic Surgery (Cardiothoracic Vascular Surgery)Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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