CMS-1500 Box 24J / 33a • NPI
1609241322
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207Y00000X (CMS 04)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology
Box 32 Service Location & ZIP+4
5409 W FRIENDLY AVE, GREENSBORO, NC, 27410-4209
✓ 9-Digit EDI 837 ZIP+4 (27410-4209)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1609241322 (ALLERGYCORP GROUP, 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 | 1609241322 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ALLERGYCORP GROUP, LLC |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology NUCC Code: 207Y00000X (Otolaryngology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 5409 W FRIENDLY AVE, GREENSBORO, NC, 27410-4209 |
| Practice Telephone / Fax | Tel: (866) 250-7400 |
| Administrative Mailing Address | 5409 W FRIENDLY AVE, GREENSBORO, NC, 27410-4209 |
| Enumeration & Last Sync | Enumerated: 2015-12-07 | CMS Record Updated: 2015-12-21 |
| Authorized Official | DIMITRI PITOVSKI (Physician/ CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207Y00000X)
What Does Taxonomy Code 207Y00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Y00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALLERGYCORP GROUP, 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 |
|---|---|
207K00000X — Allergy & ImmunologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology | State: N/A | License: Verified | Primary: Secondary |
207KI0005X — Allergy & Immunology, Clinical & Laboratory ImmunologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology | State: N/A | License: Verified | Primary: Secondary |
207YX0602X — Otolaryngology, Otolaryngic AllergyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngic Allergy | State: N/A | License: Verified | Primary: Secondary |
207Y00000X — OtolaryngologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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