CMS-1500 Box 24J / 33a • NPI
1679658363
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
2080P0201X (CMS 37)
Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)
Box 32 Service Location & ZIP+4
100 ELDEN ST, SUITE 10, HERNDON, VA, 20170-4873
✓ 9-Digit EDI 837 ZIP+4 (20170-4873)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1679658363 (ADULT AND PEDIATRIC HEALTHCARE) 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 | 1679658363 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADULT AND PEDIATRIC HEALTHCARE |
| Plain-English Specialty | Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: 2080P0201X (Pediatrics, Pediatric Allergy/Immunology) |
| Certifying / Licensing Body | American Board of Pediatrics (ABP) |
| Practice Location Address | 100 ELDEN ST, SUITE 10, HERNDON, VA, 20170-4873 |
| Practice Telephone / Fax | Tel: (703) 689-2000 |
| Administrative Mailing Address | 100 ELDEN ST, HERNDON, VA, 20170-4873 |
| Enumeration & Last Sync | Enumerated: 2006-10-25 | CMS Record Updated: 2025-09-11 |
| Authorized Official | DONNA SCHUSTER (president) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2080P0201X)
What Does Taxonomy Code 2080P0201X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2080P0201X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADULT AND PEDIATRIC HEALTHCARE)
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
- 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 |
|---|---|
207K00000X — Allergy & ImmunologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology | State: VA | License: 0101031802 | Primary: Secondary |
207KA0200X — Allergy & Immunology, AllergyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Allergy | State: VA | License: 0101031802 | Primary: Secondary |
207KI0005X — Allergy & Immunology, Clinical & Laboratory ImmunologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology | State: VA | License: 0101031802 | Primary: Secondary |
2080P0201X — Pediatrics, Pediatric Allergy/ImmunologyPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: VA | License: 0101031803 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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