LETICIA K. CHY-KOA, MD — NPI 1669579181 (Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) in GRIFFITH, IN)

CMS-1500 Box 24J / 33a • NPI

1669579181

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

174400000X

Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)

Box 32 Service Location & ZIP+4

1951 W. GLEN PARK AVENUE, GRIFFITH, IN, 46319-3703

✓ 9-Digit EDI 837 ZIP+4 (46319-3703)

Practice Phone & Referral Fax

(219) 924-5004

Fax: (219) 924-5358

⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT: NPI 1669579181 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(b)(4) — License Revocation, Suspension, or Surrender — Effective 2012-08-20). Verify before submitting Medicare/Medicaid claims.

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1669579181` (NPI-1 Individual Practitioner)
Provider / Legal Name	LETICIA K. CHY-KOA, MD
Plain-English Specialty	Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: `174400000X` (Specialist)
Certifying / Licensing Body	American Board of Pediatrics (ABP)
Practice Location Address	1951 W. GLEN PARK AVENUE, GRIFFITH, IN, 46319-3703
Practice Telephone / Fax	Tel: (219) 924-5004 \| Fax: (219) 924-5358
Administrative Mailing Address	1951 W. GLEN PARK AVENUE, GRIFFITH, IN, 46319-3703
Enumeration & Last Sync	Enumerated: 2006-09-19 \| CMS Record Updated: 2009-02-02

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1951 W. GLEN PARK AVENUE, GRIFFITH, IN, 46319-3703

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Plain-English Taxonomy & CMS Crosswalk (174400000X)

What Does Taxonomy Code 174400000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 174400000X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: American Board of Pediatrics (ABP)
Clinical Scope: Newborn jaundice screening, routine childhood vaccinations, developmental milestones, pediatric fevers, ear infections, asthma, or acute gastroenteritis.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LETICIA K. CHY-KOA, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
Pediatric Asthma Nebulization & Spirometry Evaluation

Common Therapeutic Classes:

Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`174400000X` — Specialist Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: IN \| License: `01024246` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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LETICIA K. CHY-KOA, MD (NPI #1669579181)