CMS-1500 Box 24J / 33a • NPI
1619687878
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
211 E LAKE ST STE 1C, ADDISON, IL, 60101-2877
✓ 9-Digit EDI 837 ZIP+4 (60101-2877)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1619687878 (AIGAS FOUNDATION INC) 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 | 1619687878 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AIGAS FOUNDATION INC |
| Plain-English Specialty | Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: 207Q00000X (Family Medicine) |
| Certifying / Licensing Body | American Board of Family Medicine (ABFM) |
| Practice Location Address | 211 E LAKE ST STE 1C, ADDISON, IL, 60101-2877 |
| Practice Telephone / Fax | Tel: (773) 817-5928 |
| Administrative Mailing Address | 343 N WOOD DALE RD STE 201A, WOOD DALE, IL, 60191-1578 |
| Enumeration & Last Sync | Enumerated: 2022-11-29 | CMS Record Updated: 2023-08-28 |
| Authorized Official | WAJAHATUDDIN MACCI (MANAGING DIRECTOR) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)
What Does Taxonomy Code 207Q00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AIGAS FOUNDATION INC)
Typical CPT / Diagnostic Procedures:- Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
- Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
- Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
- Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
- Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
- Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
- Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
- Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
- Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101Y00000X — CounselorPlain English: Licensed & Credentialed Counselor | State: N/A | License: Verified | Primary: Secondary |
101YA0400X — Counselor, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) | State: N/A | License: Verified | Primary: Secondary |
101YM0800X — Counselor, Mental HealthPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: N/A | License: Verified | Primary: Secondary |
101YP2500X — Counselor, ProfessionalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: N/A | License: Verified | Primary: Secondary |
101YS0200X — Counselor, SchoolPlain English: Licensed & Credentialed Counselor, School | State: N/A | License: Verified | Primary: Secondary |
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: N/A | License: Verified | Primary: Secondary |
103TA0400X — Psychologist, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder) | State: N/A | License: Verified | Primary: Secondary |
103TA0700X — Psychologist, Adult Development & AgingPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Adult Development & Aging | State: N/A | License: Verified | Primary: Secondary |
103TB0200X — Psychologist, Cognitive & BehavioralPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral | State: N/A | License: Verified | Primary: Secondary |
103TC0700X — Psychologist, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical | State: N/A | License: Verified | Primary: Secondary |
103TC1900X — Psychologist, CounselingPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Counseling | State: N/A | License: Verified | Primary: Secondary |
103TC2200X — Psychologist, Clinical Child & AdolescentPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent | State: N/A | License: Verified | Primary: Secondary |
103TE1100X — Psychologist, Exercise & SportsPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Exercise & Sports | State: N/A | License: Verified | Primary: Secondary |
103TF0000X — Psychologist, FamilyPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Family | State: N/A | License: Verified | Primary: Secondary |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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