CMS-1500 Box 24J / 33a • NPI
1689782427
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207YX0007X (CMS 04)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck
Box 32 Service Location & ZIP+4
2885 N MAYFAIR RD, WAUWATOSA, WI, 53222-4404
✓ 9-Digit EDI 837 ZIP+4 (53222-4404)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1689782427 (ADVANCED EAR NOSE & THROAT SPECIALISTS, SC) 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 | 1689782427 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCED EAR NOSE & THROAT SPECIALISTS, SC |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck NUCC Code: 207YX0007X (Otolaryngology, Plastic Surgery within the Head & Neck) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2885 N MAYFAIR RD, WAUWATOSA, WI, 53222-4404 |
| Practice Telephone / Fax | Tel: (888) 938-3838 | Fax: (888) 919-1083 |
| Administrative Mailing Address | 10001 W INNOVATION DR STE 200, MILWAUKEE, WI, 53226-4851 |
| Enumeration & Last Sync | Enumerated: 2006-08-29 | CMS Record Updated: 2026-10-15 |
| Authorized Official | MADAN KANDULA (CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207YX0007X)
What Does Taxonomy Code 207YX0007X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207YX0007X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCED EAR NOSE & THROAT SPECIALISTS, SC)
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 |
|---|---|
207YX0007X — Otolaryngology, Plastic Surgery within the Head & NeckPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck | State: WI | License: 44930 020 | Primary: Yes (Primary) |
231H00000X — AudiologistPlain English: Licensed & Credentialed Speech, Language and Hearing Service Providers — Audiologist | State: WI | License: 434 156 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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