CMS-1500 Box 24J / 33a • NPI
1700041423
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2084P0804X (CMS 86)
Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)
Box 32 Service Location & ZIP+4
2625 CRESTWOOD LN, RIVERWOODS, IL, 60015-1904
✓ 9-Digit EDI 837 ZIP+4 (60015-1904)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1700041423 (RICHARD FAMULARO, M.D.) 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 | 1700041423 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | RICHARD FAMULARO, M.D. |
| Plain-English Specialty | Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) NUCC Code: 2084P0804X (Psychiatry & Neurology, Child & Adolescent Psychiatry) |
| Certifying / Licensing Body | American Board of Psychiatry and Neurology (ABPN) |
| Practice Location Address | 2625 CRESTWOOD LN, RIVERWOODS, IL, 60015-1904 |
| Practice Telephone / Fax | Tel: (847) 914-9621 |
| Administrative Mailing Address | 2625 CRESTWOOD LN, RIVERWOODS, IL, 60015-1904 |
| Enumeration & Last Sync | Enumerated: 2008-07-22 | CMS Record Updated: 2008-07-22 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2084P0804X)
What Does Taxonomy Code 2084P0804X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084P0804X translates to:
"Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (RICHARD FAMULARO, M.D.)
Typical CPT / Diagnostic Procedures:- Electroencephalography (EEG — CPT 95816) for Seizure & Epilepsy Evaluation
- Electromyography (EMG) & Nerve Conduction Studies (NCS)
- Lumbar Puncture & Cerebrospinal Fluid (CSF) Pressure/Analysis
- Acute Ischemic Stroke NIHSS Assessment & Neuroimaging Review
- CGRP Antagonists & Triptans (Sumatriptan, Rizatriptan) for Migraine
- Antiepileptic Drugs (Levetiracetam, Lamotrigine, Valproate)
- Levodopa/Carbidopa (Parkinson's Disease) & Gabapentin/Pregabalin (Neuropathy)
- Antiplatelet & Secondary Stroke Prevention Regimens
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2084P0804X — Psychiatry & Neurology, Child & Adolescent PsychiatryPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: IL | License: 036058287 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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