TYLER JAMES BOUTSIKAKIS — NPI 1740059260 (Licensed & Credentialed Hearing Instrument Specialist in LAKE IN THE HILLS, IL)

CMS-1500 Box 24J / 33a • NPI

1740059260

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

237700000X

Licensed & Credentialed Hearing Instrument Specialist

Box 32 Service Location & ZIP+4

4 CEDAR RIDGE DR STE A, LAKE IN THE HILLS, IL, 60156-4712

✓ 9-Digit EDI 837 ZIP+4 (60156-4712)

Practice Phone & Referral Fax

(847) 458-2527

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1740059260 (TYLER JAMES BOUTSIKAKIS) 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

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	`1740059260` (NPI-1 Individual Practitioner)
Provider / Legal Name	TYLER JAMES BOUTSIKAKIS
Plain-English Specialty	Licensed & Credentialed Hearing Instrument Specialist NUCC Code: `237700000X` (Hearing Instrument Specialist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4 CEDAR RIDGE DR STE A, LAKE IN THE HILLS, IL, 60156-4712
Practice Telephone / Fax	Tel: (847) 458-2527
Administrative Mailing Address	131 ENTERPRISE RD, JOHNSTOWN, NY, 12095-3326
Enumeration & Last Sync	Enumerated: 2023-12-26 \| CMS Record Updated: 2023-12-26

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4 CEDAR RIDGE DR STE A, LAKE IN THE HILLS, IL, 60156-4712

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Plain-English Taxonomy & CMS Crosswalk (237700000X)

What Does Taxonomy Code 237700000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 237700000X translates to:
"Licensed & Credentialed Hearing Instrument Specialist"

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 Hearing Instrument Specialist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TYLER JAMES BOUTSIKAKIS)

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
`237700000X` — Hearing Instrument Specialist Plain English: Licensed & Credentialed Hearing Instrument Specialist	State: IL \| License: `3553` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TYLER JAMES BOUTSIKAKIS (NPI #1740059260)