AMBULATORY NEUROLOGICAL SERVICES, LLC — NPI 1700159480 (Licensed & Credentialed Specialist/Technologist, Other, EEG in CENTERVILLE, OH)

CMS-1500 Box 24J / 33a • NPI

1700159480

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

246ZE0500X

Licensed & Credentialed Specialist/Technologist, Other, EEG

Box 32 Service Location & ZIP+4

10554 SUCCESS LN, STE C, CENTERVILLE, OH, 45458-3658

✓ 9-Digit EDI 837 ZIP+4 (45458-3658)

Practice Phone & Referral Fax

(937) 350-5341

Fax: (866) 273-5772

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1700159480 (AMBULATORY NEUROLOGICAL SERVICES, 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1700159480` (NPI-2 Organization / Facility)
Provider / Legal Name	AMBULATORY NEUROLOGICAL SERVICES, LLC
Plain-English Specialty	Licensed & Credentialed Specialist/Technologist, Other, EEG NUCC Code: `246ZE0500X` (Specialist/Technologist, Other, EEG)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	10554 SUCCESS LN, STE C, CENTERVILLE, OH, 45458-3658
Practice Telephone / Fax	Tel: (937) 350-5341 \| Fax: (866) 273-5772
Administrative Mailing Address	PO BOX 28669, SAN DIEGO, CA, 92198-0669
Enumeration & Last Sync	Enumerated: 2012-02-10 \| CMS Record Updated: 2017-02-16
Authorized Official	MIGUEL IRIBARREN (Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

10554 SUCCESS LN, STE C, CENTERVILLE, OH, 45458-3658

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Plain-English Taxonomy & CMS Crosswalk (246ZE0500X)

What Does Taxonomy Code 246ZE0500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 246ZE0500X translates to:
"Licensed & Credentialed Specialist/Technologist, Other, EEG"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Specialist/Technologist, Other, EEG for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMBULATORY NEUROLOGICAL SERVICES, LLC)

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

Common Therapeutic Classes:

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
`246ZE0500X` — Specialist/Technologist, Other, EEG Plain English: Licensed & Credentialed Specialist/Technologist, Other, EEG	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AMBULATORY NEUROLOGICAL SERVICES, LLC (NPI #1700159480)