✓ Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon) (208800000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

MICHAEL ALAVIAN, M.D. (NPI #1538489364)

Urology • JOHNSTON, RI • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1538489364
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208800000X (CMS 34)
Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)
Box 32 Service Location & ZIP+4
1524 ATWOOD AVE STE 322, JOHNSTON, RI, 02919-3228
✓ 9-Digit EDI 837 ZIP+4 (02919-3228)
Practice Phone & Referral Fax
Fax: (401) 331-7410
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1538489364 (MICHAEL ALAVIAN, 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 #1538489364)

Medicare Beneficiaries
206
Total Billed Services
444
Distinct CPT/HCPCS Codes
41
Medicare Allowed Total
$49,709.40

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
51798 Ultrasound measurement of bladder capacity after voiding14
52000 Diagnostic exam of bladder and urethra using an endoscope15
55700 Biopsy of prostate gland13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more41
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more152
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more58

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Alfuzosin Hcl Er
Alfuzosin Hcl
15245
Ampicillin Trihydrate
Ampicillin Trihydrate
11<11
Bicalutamide
Bicalutamide
16<11
Cephalexin
Cephalexin
9758
Ciprofloxacin Hcl
Ciprofloxacin Hcl
3933
Clotrimazole
Clotrimazole
12<11
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
1814
Desmopressin Acetate
Desmopressin Acetate
17<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1538489364 (NPI-1 Individual Practitioner)
Provider / Legal NameMICHAEL ALAVIAN, M.D.
Plain-English SpecialtyBoard-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)
NUCC Code: 208800000X (Urology)
Certifying / Licensing BodyAmerican Board of Urology (ABU)
Practice Location Address1524 ATWOOD AVE STE 322, JOHNSTON, RI, 02919-3228
Practice Telephone / FaxTel: (401) 331-7400 | Fax: (401) 331-7410
Administrative Mailing Address1524 ATWOOD AVE STE 322, JOHNSTON, RI, 02919-3228
Enumeration & Last SyncEnumerated: 2010-06-03 | CMS Record Updated: 2015-07-01

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1524 ATWOOD AVE STE 322, JOHNSTON, RI, 02919-3228

🗺️ Open in Google Maps 🏥 More Providers in JOHNSTON

Plain-English Taxonomy & CMS Crosswalk (208800000X)

What Does Taxonomy Code 208800000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208800000X translates to:
"Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 34 (Physician/Urology)
Certifying / Accrediting Authority: American Board of Urology (ABU)
Clinical Scope: Kidney stones causing flank pain, blood in urine (hematuria), recurrent urinary tract infections (UTIs), prostate enlargement, or urinary incontinence.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MICHAEL ALAVIAN, M.D.)

Typical CPT / Diagnostic Procedures:
  • Diagnostic Cystourethroscopy (CPT 52000) & Urodynamic Flow Studies
  • Ureteroscopy with Holmium Laser Lithotripsy for Kidney Stones (CPT 52356)
  • Extracorporeal Shock Wave Lithotripsy (ESWL — CPT 50590)
  • Prostate Specific Antigen (PSA) Screening & Ultrasound-Guided Biopsy
Common Therapeutic Classes:
  • Alpha-Blockers (Tamsulosin, Alfuzosin) for BPH & Ureteral Stone Passage
  • 5-Alpha Reductase Inhibitors (Finasteride, Dutasteride)
  • Targeted Urinary Antimicrobials (Nitrofurantoin, Fosfomycin, Ciprofloxacin, Septra)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
208800000X — Urology
Plain English: Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)
State: RI | License: MD15083 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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