CMS-1500 Box 24J / 33a • NPI
1982424388
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
3300 GALLOWS RD, FALLS CHURCH, VA, 22042-3300
✓ 9-Digit EDI 837 ZIP+4 (22042-3300)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1982424388 (AESTHETIC MEDICINE AND SURGERY, PLLC) 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 | 1982424388 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AESTHETIC MEDICINE AND SURGERY, PLLC |
| 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 | 3300 GALLOWS RD, FALLS CHURCH, VA, 22042-3300 |
| Practice Telephone / Fax | Tel: (443) 646-5001 | Fax: (410) 257-7042 |
| Administrative Mailing Address | PO BOX 4, MC LEAN, VA, 22101-0004 |
| Enumeration & Last Sync | Enumerated: 2024-10-11 | CMS Record Updated: 2024-10-11 |
| Authorized Official | GABRIEL SANTIAGO (President) |
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 (AESTHETIC MEDICINE AND SURGERY, PLLC)
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 |
|---|---|
207T00000X — Neurological SurgeryPlain English: Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon) | State: N/A | License: Verified | Primary: Yes (Primary) |
207Y00000X — OtolaryngologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology | State: N/A | License: Verified | Primary: Secondary |
2086S0122X — Surgery, Plastic and Reconstructive SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Plastic and Reconstructive Surgery | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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