CMS-1500 Box 24J / 33a • NPI
1891144093
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2471M2300X
Licensed & Credentialed Radiologic Technologist, Mammography
Box 32 Service Location & ZIP+4
152 SWAN VIEW DR, KILL DEVIL HILLS, NC, 27948-8048
✓ 9-Digit EDI 837 ZIP+4 (27948-8048)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1891144093 (PAM DEROLF, R.T.) 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 | 1891144093 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | PAM DEROLF, R.T. |
| Plain-English Specialty | Licensed & Credentialed Radiologic Technologist, Mammography NUCC Code: 2471M2300X (Radiologic Technologist, Mammography) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 152 SWAN VIEW DR, KILL DEVIL HILLS, NC, 27948-8048 |
| Practice Telephone / Fax | Tel: (401) 862-1688 |
| Administrative Mailing Address | 152 SWAN VIEW DR, KILL DEVIL HILLS, NC, 27948-8048 |
| Enumeration & Last Sync | Enumerated: 2016-06-08 | CMS Record Updated: 2016-06-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2471M2300X)
What Does Taxonomy Code 2471M2300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2471M2300X translates to:
"Licensed & Credentialed Radiologic Technologist, Mammography"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (PAM DEROLF, R.T.)
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 |
|---|---|
2471M2300X — Radiologic Technologist, MammographyPlain English: Licensed & Credentialed Radiologic Technologist, Mammography | State: MA | License: 16286 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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