CMS-1500 Box 24J / 33a • NPI
1871754523
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
390200000X
Licensed & Credentialed Student in an Organized Health Care Education/Training Program
Box 32 Service Location & ZIP+4
1700 E 38TH ST, MARION, IN, 46953-4568
✓ 9-Digit EDI 837 ZIP+4 (46953-4568)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1871754523 (ISAKI AFOLABI, MBBS) 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 | 1871754523 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ISAKI AFOLABI, MBBS |
| Plain-English Specialty | Licensed & Credentialed Student in an Organized Health Care Education/Training Program NUCC Code: 390200000X (Student in an Organized Health Care Education/Training Program) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1700 E 38TH ST, MARION, IN, 46953-4568 |
| Practice Telephone / Fax | Tel: (765) 674-3321 |
| Administrative Mailing Address | 1041 ONYX ST, WEST LAFAYETTE, IN, 47906-7232 |
| Enumeration & Last Sync | Enumerated: 2008-06-24 | CMS Record Updated: 2009-09-17 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (390200000X)
What Does Taxonomy Code 390200000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 390200000X translates to:
"Licensed & Credentialed Student in an Organized Health Care Education/Training Program"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ISAKI AFOLABI, MBBS)
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
- 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 |
|---|---|
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: IN | License: 11013858A | Primary: Yes (Primary) |
2084P0800X — Psychiatry & Neurology, PsychiatryPlain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) | State: MI | License: 4301095337 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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