CMS-1500 Box 24J / 33a • NPI
1811056005
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207T00000X (CMS 02)
Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)
Box 32 Service Location & ZIP+4
5000 CEDAR PLAZA PKWY, SUITE 220, ST LOUIS, MO, 63128
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1811056005 (ALBANNA NEUROSURGICAL CONSULTANTS A PROFESSIONAL CORP) 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 | 1811056005 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ALBANNA NEUROSURGICAL CONSULTANTS A PROFESSIONAL CORP |
| Plain-English Specialty | Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon) NUCC Code: 207T00000X (Neurological Surgery) |
| Certifying / Licensing Body | American Board of Neurological Surgery (ABNS) |
| Practice Location Address | 5000 CEDAR PLAZA PKWY, SUITE 220, ST LOUIS, MO, 63128 |
| Practice Telephone / Fax | Tel: (314) 849-9090 | Fax: (314) 849-4165 |
| Administrative Mailing Address | 5000 CEDAR PLAZA PKWY, ST LOUIS, MO, 63128 |
| Enumeration & Last Sync | Enumerated: 2006-12-06 | CMS Record Updated: 2011-10-26 |
| Authorized Official | CHRIS KETCHERSIDE (Practice Adm Corp Sec) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207T00000X)
What Does Taxonomy Code 207T00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207T00000X translates to:
"Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ALBANNA NEUROSURGICAL CONSULTANTS A PROFESSIONAL CORP)
Typical CPT / Diagnostic Procedures:- Microsurgical Craniotomy for Brain Tumors & Intracranial Aneurysm Clipping/Coiling
- Anterior Cervical Discectomy & Fusion (ACDF) & Lumbar Microdiscectomy
- Endoscopic Skull-Base Repair of Cerebrospinal Fluid (CSF) Rhinorrhea/Otorrhea
- Ventriculoperitoneal (VP) Shunt Placement for Hydrocephalus
- Dexamethasone (Cerebral Edema Reduction) & Levetiracetam (Seizure Prophylaxis)
- Mannitol & Hypertonic Saline (Intracranial Pressure Management)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
111N00000X — ChiropractorPlain English: Licensed & Credentialed Chiropractic Providers — Chiropractor | State: N/A | License: Verified | Primary: Secondary |
208100000X — Physical Medicine & RehabilitationPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation | State: N/A | License: Verified | Primary: Secondary |
207T00000X — Neurological SurgeryPlain English: Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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