CMS-1500 Box 24J / 33a • NPI
1629651476
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207RI0200X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
1520 N CHURCH RD STE D, LIBERTY, MO, 64068-7176
✓ 9-Digit EDI 837 ZIP+4 (64068-7176)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1629651476 (ATTIGO INFUSION MISSOURI 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 | 1629651476 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ATTIGO INFUSION MISSOURI LLC |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RI0200X (Internal Medicine, Infectious Disease) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 1520 N CHURCH RD STE D, LIBERTY, MO, 64068-7176 |
| Practice Telephone / Fax | Tel: (972) 661-2273 | Fax: (972) 421-1899 |
| Administrative Mailing Address | 15301 SPECTRUM DR STE 330, ADDISON, TX, 75001-6462 |
| Enumeration & Last Sync | Enumerated: 2021-04-29 | CMS Record Updated: 2025-09-10 |
| Authorized Official | MAUREEN CRAVEN (Director of Revenue Cycle) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RI0200X)
What Does Taxonomy Code 207RI0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RI0200X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ATTIGO INFUSION MISSOURI LLC)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QI0500X — Clinic/Center, Infusion TherapyPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
207RI0200X — Internal Medicine, Infectious DiseasePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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