CMS-1500 Box 24J / 33a • NPI
1962620294
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2080P0208X (CMS 37)
Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)
Box 32 Service Location & ZIP+4
715 S TAFT AVE, FREMONT, OH, 43420-3200
✓ 9-Digit EDI 837 ZIP+4 (43420-3200)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1962620294 (IRACEMA AREVALO, M.D) 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
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1962620294 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | IRACEMA AREVALO, M.D |
| Plain-English Specialty | Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: 2080P0208X (Pediatrics, Pediatric Infectious Diseases) |
| Certifying / Licensing Body | American Board of Pediatrics (ABP) |
| Practice Location Address | 715 S TAFT AVE, FREMONT, OH, 43420-3200 |
| Practice Telephone / Fax | Tel: (419) 334-6679 | Fax: (419) 334-6690 |
| Administrative Mailing Address | 18 FOX RUN DR, FREMONT, OH, 43420-8562 |
| Enumeration & Last Sync | Enumerated: 2007-04-23 | CMS Record Updated: 2015-04-14 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2080P0208X)
What Does Taxonomy Code 2080P0208X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2080P0208X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (IRACEMA AREVALO, M.D)
Typical CPT / Diagnostic Procedures:- Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
- Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
- Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
- Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
- Pediatric Asthma Nebulization & Spirometry Evaluation
- Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
- WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
- Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
- Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2080P0208X — Pediatrics, Pediatric Infectious DiseasesPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: OH | License: 35089621 | Primary: Yes (Primary) |
282NR1301X — General Acute Care Hospital, RuralPlain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) | State: OH | License: 35. 089621 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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