ALLIANCE HAND AND WRIST SURGERY — NPI 1780202499 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery

CMS-1500 Box 24J / 33a • NPI

1780202499

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2086S0105X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgery of the Hand

Box 32 Service Location & ZIP+4

1668 KELLER PKWY STE 300, KELLER, TX, 76248-3710

✓ 9-Digit EDI 837 ZIP+4 (76248-3710)

Practice Phone & Referral Fax

(267) 408-9036

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1780202499 (ALLIANCE HAND AND WRIST SURGERY) 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	`1780202499` (NPI-2 Organization / Facility)
Provider / Legal Name	ALLIANCE HAND AND WRIST SURGERY
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgery of the Hand NUCC Code: `2086S0105X` (Surgery, Surgery of the Hand)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1668 KELLER PKWY STE 300, KELLER, TX, 76248-3710
Practice Telephone / Fax	Tel: (267) 408-9036
Administrative Mailing Address	2140 E SOUTHLAKE BLVD STE L-605, SOUTHLAKE, TX, 76092-6516
Enumeration & Last Sync	Enumerated: 2020-07-09 \| CMS Record Updated: 2022-09-28
Authorized Official	SHUSHAN JACOB (Physician/Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1668 KELLER PKWY STE 300, KELLER, TX, 76248-3710

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Plain-English Taxonomy & CMS Crosswalk (2086S0105X)

What Does Taxonomy Code 2086S0105X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0105X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgery of the Hand"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 40 (Physician/Hand Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Surgery, Surgery of the Hand for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALLIANCE HAND AND WRIST SURGERY)

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
`2086S0105X` — Surgery, Surgery of the Hand Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgery of the Hand	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALLIANCE HAND AND WRIST SURGERY (NPI #1780202499)