CMS-1500 Box 24J / 33a • NPI
1477502300
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2085R0202X (CMS 30)
Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)
Box 32 Service Location & ZIP+4
2975 SYCAMORE DR, SIMI VALLEY, CA, 93065-1201
✓ 9-Digit EDI 837 ZIP+4 (93065-1201)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1477502300 (ROBERT ANTHONY ACQUARELLI, M.D.) 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
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1477502300)
Medicare Beneficiaries
1,107
Total Billed Services
1,567
Distinct CPT/HCPCS Codes
97
Medicare Allowed Total
$85,382.17
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
70450 | Ct scan head or brain without contrast | 19 |
71045 | X-ray of chest, 1 view | 134 |
71250 | Ct scan of chest without contrast | 210 |
71260 | Ct scan of chest with contrast | 467 |
71271 | Low dose ct scan of chest for lung cancer screening | 20 |
71275 | Ct scan of blood vessels of chest with contrast | 20 |
74176 | Ct scan of abdomen and pelvis without contrast | 93 |
74177 | Ct scan of abdomen and pelvis with contrast | 155 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1477502300 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ROBERT ANTHONY ACQUARELLI, M.D. |
| Plain-English Specialty | Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) NUCC Code: 2085R0202X (Radiology, Diagnostic Radiology) |
| Certifying / Licensing Body | American Board of Radiology (ABR) / FRCR |
| Practice Location Address | 2975 SYCAMORE DR, SIMI VALLEY, CA, 93065-1201 |
| Practice Telephone / Fax | Tel: (805) 955-6360 |
| Administrative Mailing Address | PO BOX 190, SIMI VALLEY, CA, 93062-0190 |
| Enumeration & Last Sync | Enumerated: 2006-05-08 | CMS Record Updated: 2025-04-30 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2085R0202X)
What Does Taxonomy Code 2085R0202X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0202X translates to:
"Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ROBERT ANTHONY ACQUARELLI, M.D.)
Typical CPT / Diagnostic Procedures:- Non-Contrast CT KUB for Urolithiasis & Contrast CT Chest/Abdomen/Pelvis
- Brain, Spine & Musculoskeletal Magnetic Resonance Imaging (MRI)
- Abdominal, Hepatic, Renal, Pelvic & Vascular Doppler Ultrasound
- 3D Digital Screening & Diagnostic Mammography (BI-RADS Reporting)
- Iodinated Low-Osmolar Intravenous CT Contrast Media (Iohexol, Iopamidol)
- Gadolinium-Based MRI Contrast Agents
- Barium Sulfate & Oral Gastrografin Gastrointestinal Contrast
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: CA | License: A72124 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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