Taxonomy Crosswalk
Last update on 7/17/2025.
| TAXONOMY Grouping 1 | TAXONOMY Grouping 2 | TAXONOMY Grouping 3 | DESCRIPTION | TAXONOMY | Provider Type | Provider Type Description | Provider Type Specialty | Provider Specialty Description | iC Fund Code | Healthcare Prov |
|---|
Occupational Health 207KA0200X Electrodiagnostic Medicine 2086S0127X Coding Specialist, Physician Office Based 247ZC0005X Podiatric Early Intervention Provider Agency Day Training/Habilitation Specialist 364SA2200X Oncology, Radiation 1835P2201X 2084B0040X 163WN0800X Community Health/Public Health Emergency Personal Emergency Response Attendant 284300000X 101Y00000X Personal Care Attendant 332BX2000X Children 246RP1900X Integrative Medicine 323P00000X 2084V0102X 2472R0900X 251G00000X 163WR1000X 2278E0002X Medical Genetics, Ph.D. Medical Genetics 163WW0101X 2279P3900X 177F00000X 251B00000X Extended Care Facility N Clinical Laboratory Director, Non physician 225CX0006X Y 125K00000X Neonatal, Critical Care Neuropathology Lactation Consultant, (IBCLC/RLC) Neuroradiology Community Health - Non-Professional Maternal & Fetal Medicine y 204C00000X 2279P4000X Homeopath Optometric Assistant 133VN1401X 261QP0905X Nutrition, Metabolic 173000000X 163WX1500X Health Maintenance Organization 261QA0005X 2080C0008X Common Carrier (Non-ambulatory) Prosthetist Research Study Licensed Practical Nurse 136A00000X Art, Medical 261QP0904X Adult Day Care 364SX0204X Psychologist Emergency Medicine Bariatric Medicine 261QA0006X Coding Specialist, Hospital Based Augmentative Communication Pathology 246ZB0301X Women's Health Care, Ambulatory Addiction Medicine Emergency Medical Technician, Paramedic Hospital Units Hospice Care, Community Based Low Vision Rehabilitation 122400000X 2086S0129X BHO Rehabilitation Unit 2086X0206X 2080A0000X Mastectomy Fitter Classification 2085R0205X 364SX0200X Optometrist 2084D0003X 246ZB0302X Military Clinical Medical Laboratory 207YX0007X Allergist - Pediatric 224ZF0002X Veterinarian Recovery Care Registered Nurse (RN) Student in an Organized Health Care Education/Training Program Nutritionist 207RR0500X 315P00000X Contractor Nutrition, Renal Dental Public Health Diagnostic Radiology 225CA2400X Emergency Medical Service Providers 363LN0000X 261QA1903X 163WG0100X County Health Department 207QA0401X 261QM1103X Graphics Designer Nuclear Medicine Technology 207RI0011X Occupational Therapist Diabetology 163WP0809X Dance Therapist 261QM1102X 163WE0003X 174400000X Neonatologist 207KI0005X Rehabilitation, Substance Use Disorder Chronic Disease Hospital 2355A2700X Rehabilitation Physiological Laboratory 2084B0002X 314000000X 2081P0004X Counselor 261QM1101X Bone Densitometry Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) Anesthesiologist Assistant 111NR0400X 207YS0012X 103TB0200X Midwife, Lay Dialysis Equipment & Supplies Free-standing Renal Dialysis Clinic 2082S0105X 163WP0807X Corporate Health 246Y00000X Skilled Nursing Agency Ph.D. Medical Genetics 261QM1100X Oral & Maxillofacial Surgery 364SL0600X 103K00000X Sleep Specialist, PhD 2083P0011X Military/U.S. Coast Guard Pharmacy 224Y00000X 363AS0400X Inpatient Facility Colon & Rectal Surgery 332100000X Audiologist-Hearing Aid Fitter Driver 261QH0700X 163WP0808X Group/Single-Specialty 367A00000X Capitation Provider End-Stage Renal Disease (RSD) Clinic 282NR1301X 103TP0814X Oral and Maxillofacial Radiology Technologist Genetics 2086S0122X Dance Therapist 322D00000X Advanced Dental Therapist Pediatric Dermatology Dental Hygienist 152WS0006X 246QC2700X 171W00000X Emergency Medical Technician, Intermediate 207WX0120X 2084A2900X Private Vehicle 103TA0700X Emergency Medical Services 204R00000X Neonatal Psychiatric/Mental Health, Chronically Ill Otologist, Laryngologist, Rhinologist Certified Registered Nurse Anesthetist (CRNA) 146L00000X Nephrology Audiologist Hospice, Inpatient Therapeutic Radiology 261QR1100X Clinical Neurophysiology Medical Research 2080P1004X 2086S0120X 282N00000X Chronic Care Ophthalmic 207NI0002X Biochemist Pediatric Surgeon SNF/Subacute Care EPSDT Clinic Ambulatory Family Planning Facility Psychiatric/Mental Health, Geropsychiatric Transportation Broker Otolaryngic Allergy 2255R0406X 2279G0305X Preventive Medicine 225X00000X 261QC0050X 207RG0100X Sleep Medicine Community Paramedic 174H00000X Nephrology Architectural Modification Assisted Living, Behavioral Disturbances Mid-Level Practitioner Cardiovascular Disease Orientation and Mobility Training Provider 207W00000X 208800000X 363LC1500X 364SP2800X Residential Treatment Facility, Physical Disabilities 293D00000X 246ZE0500X 320700000X Respiratory Therapist, Registered Dermatologist Obstetrics & Gynecology 2251H1200X 101YP2500X 225XL0004X Blood Bank 2084N0600X Nuclear Medicine Practitioner 207VH0002X 311ZA0620X Orthodontist 171WV0202X 247200000X 246Q00000X 2471S1302X 2278S1500X Vascular-Interventional Technology 246ZS0410X Maternal Newborn Mastectomy Fitter Multi-Specialty 344800000X 333300000X Nursing Service Providers Obstetrician/Gynecologist Child Welfare Targeted Case Management Obesity and Weight Management Sleep Medicine Specialization Individual or Groups (of Individuals) Hepatology Air Ambulance 174200000X Transplant Surgery Personal Care Services Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Day Training, Developmentally Disabled Services Behavioral Health & Social Service Providers 376J00000X 2081N0008X 3747A0650X Denturist Dental Hygienist 163WU0100X Gerontology Military/U.S. Coast Guard Outpatient Prosthesis Specialty Pharmacy 163WX0002X Nuclear Medicine Oral and Maxillofacial Pathology Non-Emergency Medical Transportation Corneal and Contact Management Rural Health Geriatric Medicine 146D00000X DME/Medical Supplier Technician 225500000X 207ZD0900X 164W00000X Educational Endocrinology, Diabetes & Metabolism 246ZG1000X Speech/Hearing Therapist Assisted Living, Mental Illness Psychiatric/Mental Health, Adult Clinical Neuropsychologist 207LH0002X 364SN0000X Pastoral Pulmonary Disease Specialist Assistant Record Technician Biomedical Engineering 320900000X Neurological Surgeon Chiropractor 1835P1400X Gastroenterologist Neurocritical Care 103TA0400X 225XE0001X 225700000X 1835I0206X 261QR0200X Nutrition Support Hospice Public Health & General Preventive Medicine Registered Nurse 3418M1120X 111NT0100X Allergy & Immunology Ophthalmologist Pediatric Strabismus Specialist School Corporation 207K00000X Anaplastologist 347D00000X 261QR0207X 1835P0200X Rehabilitation Practitioner 261QI0500X 246XS1301X 132700000X 2084P0301X Enterostomal Therapy Pediatric Dentist Residential Treatment Center 207SG0205X 251300000X X-Ray Clinic 163WM1400X 207ZP0102X 2085R0203X 126900000X Community Based Residential Treatment Facility, Mental Illness 207LP4000X 261QR0206X 363LP0222X Respite Care Camp 3245S0500X Clinical Child & Adolescent Prothesis / Orthotics Oral Medicine Blood Banking & Transfusion Medicine Obstetrics & Gynecology 332BC3200X Acute Care - Rural 225XE1200X Orthopaedic Surgery 2085R0204X 207ZP0101X Anesthesiology Nursing Service Related Providers meals Speech/Hearing Clinic 175M00000X 175T00000X 207U00000X 208600000X Otolaryngology 207LA0401X Eyewear Supplier (Equipment, not the service) 104100000X 2083P0500X 207SG0207X Neurological Surgery 207ZP0104X 207QA0000X Solid Organ Transplant 126800000X Multi-Specialty Specialist/Technologist Cardiovascular 2088P0231X 347E00000X 224L00000X Respite Care, Intellectual and/or Developmental Disabilities, Child General Practitioner Oncology Nutrition Surgery Hospice 2471R0002X 2085H0002X 261QX0100X Psychiatry 207RA0201X 2355S0801X Neuroscience Low Vision Specialization 2085R0202X 193400000X Pain Psychiatric Public Health & General Preventive Medicine Nutritionist Glaucoma Specialist 311500000X Dental Laboratory 133VN1005X 103TH0004X Military or U.S. Coast Guard Ambulance, Air Transport 222Z00000X Biostatistician 2251X0800X 2279C0205X Hospital Specialist Magnetic Resonance Imaging (MRI) In Vivo & In Vitro Nuclear Medicine 364SI0800X 225200000X 204E00000X Dermatopathology 156FX1700X 133VN1006X 193200000X Pediatric Urology 2080H0002X Ostomy Care Counseling Specialist/Technologist Otology & Neurotology 207P00000X 208100000X Registered Nurse Clinical (RNC) 246QH0000X 207ZI0100X 3104A0630X Group Psychotherapy Prosthodontics 207QD0401X Anaplastologist Orthopaedic Surgeon 261QS1000X 207R00000X 347B00000X 373H00000X Art Therapist General Practice 225000000X Acupuncturist 261QR0208X Pediatric Orthopaedic Surgery Mammography Vision Therapy 133VN1004X 247000000X 2865X1600X Emergency Response System Companies Internal Medicine 364SC0200X Orofacial Pain 207QH0002X 204F00000X Registered Nurse Pediatric Critical Care Medicine 171100000X Oral Surgeon 246XC2901X 282NC2000X Pediatric Nephrology Electrodiagnostic Medicine Specialist Pulmonary Function Technologist Trauma Surgery Laboratory 207XX0801X Voluntary or Charitable 251X00000X Common Carrier (Non-Ambulatory) 363LS0200X 174N00000X Emergency Medicine Family Planning, Non-Surgical Magnetic Resonance Imaging Graphic Designer 3104A0625X Optician Pediatric Dentistry 364SG0600X 207RI0008X 163WC2100X 152WP0200X Cognitive & Behavioral 2278P1005X Hearing Aid Equipment Adolescent and Children Mental Health Ethics Psychiatrist Physician Assistants & Advanced Practice Nursing Providers 2080T0002X 2084A0401X 385HR2050X Licensed Vocational Nurse 246XC2903X Legal Medicine Vascular Specialist 261QS0132X 208C00000X 133VN1501X In Home Supportive Care 2278P1006X Speech-Language Pathologist 320600000X 367H00000X Diagnostic Neuroimaging 213ES0131X 291U00000X 207XP3100X Psychologist Respiratory, Developmental, Rehabilitative and Restorative Service Providers 163WD1100X Reproductive Endocrinology/Infertility 163WS0121X 2081P0301X Urgent Care Dermatology Pharmacology Pharmacist 207ND0101X 2279H0200X Nursing Facility/Intermediate Care Facility Anatomic Pathology & Clinical Pathology 261QS1200X 213EP1101X Physician Diabetes Specialist (Internal Medicine) Oncology, Pediatrics Nurse Anesthetist, Certified Registered 175L00000X PBM Managed Care Organizations 207SG0201X Certified Social Worker 207VM0101X 261QH0100X 2278P1004X Flight Public Health or Welfare 2251G0304X 207SG0202X 281PC2000X Adult Congenital Heart Disease End-Stage Renal Disease (ESRD) Treatment 207ZP0105X Molecular Genetic Pathology Intellectual & Developmental Disabilities 111NX0800X Nursing Home Administrator 111N00000X 207SG0203X 310400000X 133N00000X Pediatric Critical Care Nutrition Submitter Early Intervention Services Hearing Aid Dealer 2279P3800X Health Educator 332B00000X Physician 103TP0016X Obstetrics Complex Family Planning 207X00000X Internist Obstetrician/Gyn 2472E0500X MOHS-Micrographic Surgery 2084N0008X Nuclear Pharmacist 146E00000X Pediatrics Pharmacy Service Providers 261QM1200X Residential Behavior Management Services (RBMS) 261QP3300X Nurse Practitioner Clinic 207SC0300X Independent Duty Medical Technicians 207VX0201X Orthopaedic Trauma Licensed Psychiatric Technician 209800000X Nurse Practitioner 342000000X Pediatric Emergency Medicine 163WX0200X Military Health Care Provider Physical Rehabilitation 242T00000X Physician Nutrition Specialist (Surgery) Neonatal-Perinatal Medicine 251J00000X 1223E0200X Medical Biochemical Geneticist Mechanotherapist 227900000X Sleep Disorder Diagnostic Orthoptist 207RP1001X Community/Behavioral Health 2278P3800X 237700000X 385HR2055X 207ZC0006X Rural Health Clinic (RHC) 3336S0011X 1223S0112X Perinatal 376K00000X 171WH0202X Mammography 207WX0200X Amputee Dental Laboratory Technician 335V00000X Clinical & Laboratory Immunology 2251S0007X 207RP1002X 2471V0106X Clinical Cardiac Electrophysiology 207RI0001X 207ZC0008X 364SW0102X 2080P0210X Peer Specialist Speech-Language Assistant 261QD0000X 163WP0000X Long-Term Care Certified Nurse Midwife Independent Medical Examiner 101YS0200X 2080N0001X Children's Specialty Internist Preventive Medicine/Occupational Environmental Medicine Home Health Aide 2471V0105X Family Practitioner 237600000X Contact Lens Advantage Case Manager Radiology Practitioner Assistants Custodial Care Facility Bariatric Medicine**** 163WL0100X 363LC0200X Pediatric Emergency Medicine Occupational Therapy Assistant 2251C2600X Allopathic & Osteopathic Physicians Skilled Nursing Facility 332G00000X Neonatal/Pediatrics Developmental Therapist Medical Foods Supplier/DME 363LP1700X Health Service 111NX0100X Physical Therapy Assistant 163WC0400X Eye Bank 364SM0705X 246QH0401X Psychoanalysis 163WN0003X HCBS - MR Waiver Facility Secured Medical Transport (VAN) Hematology & Oncology 335U00000X Air Transport 246QB0000X Cardiovascular Surgeon 207RX0202X Dialysis, Peritoneal 202D00000X Dental Clinic 106S00000X 376G00000X 156FX1202X 251E00000X 341800000X Clinical & Laboratory Immunology Child Abuse Pediatrics Specialization 246ZG0701X Hypertension Specialist Physician 163WN0002X Ophthalmologic Surgery Therapy Clinic Bus 163WC1600X Interpreter Blood Bank Medical Prison Health Assistant Therapist Homeopath 221700000X Endodontist 207QA0505X Mental Health Specialization 207WX0110X Microbiology Licensed Practical Nurse (LPN) 156FX1201X Recreation Therapist 2083P0901X 102L00000X 202C00000X 332H00000X Surgical Oncology 2279P1004X Orthotist Managed Care Organization Pharmacy 163WX1100X Specialist 08 09 211D00000X 2080P0207X Cardiovascular-Interventional Technology 363LX0001X Anesthesiologist - Other 261QM0801X 146N00000X Transplant Hepatology Pediatrics, Critical Care Orthotics/Prosthetics Fitter Neuro Ophthalmologist Radiology Practitioner Assistant Radiology, Mobile Mammography Assistant Behavior Analyst 208VP0014X Attendant Care Provider Periodontics Physician Nutrition Specialist (Anesthesia) Rehabilitative and Restorative Service Providers Type, Occupational Therapist Respite Care Facility 2080P0208X Physical Medicine and Rehabilitation Practitioner Professional 2471N0900X Primary Podiatric Medicine 3336M0002X 208U00000X Ambulatory Fertility Facility 2251E1300X 2279P1006X 174M00000X 208D00000X Pediatric Allergy & Immunology 332000000X 156F00000X Anesthesiology Assistant Phlebology Podiatrist 2080P0205X 207RC0001X Ergonomics Orthopedic Surgeon Developmental Disabilities Plastic Surgery within the Head & Neck Preferred Provider Organization 2279P1005X Prescribing (Medical) Bus Vehicle Modifications 246ZA2600X Religious Nonmedical Health Care Institution Military General Acute Care Hospital 2080P0206X 224900000X Environmental Modification Specialization Nuclear Pharmacy Nurse Medical Genetics, Non-physician Independent Duty Corpsman 2080P0203X 124Q00000X Geriatric Care Orthodontics and Dentofacial Orthopedics 2251H1300X Interpreter Chemistry 310500000X Speech, Language and Hearing Service Providers Foster Care Agency 251K00000X Ambulatory Care 261QE0800X Pediatric Nurse Practitioner 207ND0900X 227800000X 2080P0204X Religious Nonmedical Practitioner Public Health, Federal 364ST0500X Respiratory Therapist Plastic and Reconstructive Surgery Respite Care - Facility Based 363L00000X Infusion Therapy 1223X0008X Neurology 2279E1000X 2083C0008X 3418M1130X Home Infusion 207VF0040X 207RN0300X 2080P0201X Developmental – Behavioral Pediatrics Clinical informatics Mental Health (Including Community Mental Health Center) Foot and Ankle Orthopaedics Rehabilitation, Substance Use Disorder Unit Sports Vision 208G00000X Prosthetics Case Manager Licensed Psychiatric Technician 246QM0706X Clinical Pathology/Laboratory Medicine 2080P0202X 273Y00000X Emergency Medical Technician, Intermediate Addiction (Substance Use Disorder) 2088F0040X Pedorthist 171R00000X Rehabilitation Counselor Community Health Worker 313M00000X Perioperative Nuclear Teaching Institute Pediatrics 103TF0200X 332BN1400X 174V00000X Geriatric Adult Mental Health 207XS0114X Respite Care, Physical Disabilities, Child Otolaryngology/Facial Plastic Surgery Psychiatry & Neurology Hospitals Personal Care - Individual Assistive Technology Supplier Neurorehabilitation 122300000X Forensic Psychiatry 2471C3402X 2278H0200X Independent Lab General Surgeon Radiological Physics Migrant Health 163WG0600X Integrative Medicine Physician Pulmonary Rehabilitation Pain Medicine 2085N0700X 1223X0400X 171M00000X Pharmacy Assistive Technology Practitioner Oral Medicine Specialist 2471C3401X 1744G0900X Health Educator (Weight Watchers) Specialty not yet defined 1223P0106X Pediatric Rheumatology 261QM2800X 207XS0117X Laboratory Management, Diplomate Audiology Assistant Ethics Case consultant 367500000X Christian Science Practitioner/Nurse Optician Physician Nutrition Specialist (Internal Medicine) Feeding, Eating & Swallowing Specialization 1223D0001X 106H00000X 246ZI1000X Informatics Prevention Professional Emergency Medicine Practitioner Group 251V00000X Surgical Assistant Voluntary or Charitable Nursing Care, Pediatric Undersea and Hyperbaric Medicine Renal Dialysis 332800000X 2255A2300X Neurodevelopmental Disabilities 363A00000X Allergy 163WX0601X Emergency Care 207RT0003X 102X00000X DBM Occupational Vision Dentist Clinical Molecular Genetics Specialist/Technologist, Pathology Medical Technologist 2471M1202X 363LP0808X 2080T0004X Oncologist 251T00000X 332900000X 207PT0002X 335E00000X 103TH0100X Daily Living Supports 3416A0800X Lithotripsy Research Data Abstracter/Coder 207RC0000X Dental Providers Other Service Providers 1223D0004X 364SE0003X Legal Medicine 106E00000X Military Ambulatory Procedure Visits Operational (Transportable) Drama Therapist Nursing Facility - ICF 251S00000X Infection Control Immunopathology Brain Injury Medicine 364SN0800X Neonatal, Low Risk Counselor 163WI0500X Chiropractic Providers 3336M0003X Nurse Technician 103TC2200X Non-emergency Medical Transport (VAN) Technician 2083T0002X Emergency Medical Technician, Paramedic 335G00000X 133VN1101X 273R00000X 152W00000X 246QC1000X Naprapath 208M00000X Geriatric Psychiatry Sports Dietetics Nutrition 332BD1200X Medical Microbiology Nursing & Custodial Care Facilities Radiologist Non-Pharmacy Dispensing Site Portable X-Ray Supplier Illustration, Medical 2083A0100X 163WP0218X Assistant, Podiatric 207WX0109X Clinic/Center 207PP0204X 1835C0207X Skilled Nursing Facility (SNF) Critical Care 2084P2900X Public Health Agency 225100000X 224P00000X Gynecologist 207L00000X 1223G0001X Secured Medical Transport (VAN) College Health Nuclear Cardiology 385HR2060X 261QP2400X Naturopath 207VG0400X 170100000X Pathologist 207UN0901X 207WX0108X Pediatric Endocrinology 261QC1800X 101200000X Psychiatric/Mental Health, Child & Family Retina Specialist Sleep Medicine Infectious Diseases 2080B0002X 261QX0203X 261QB0400X 243U00000X Emergency Medical Technician, Basic ICF/MR Vascular Sonography 183700000X Lactation Consultant - (IBCLC/RLC) Oral and Maxillofacial Surgery Home Health Agency Nutrition Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Plastic Surgery 2086S0102X 261QM2500X 225XF0002X Pathology - Clinical Plastic Surgeon Mail Order Pharmacy Psychiatric/Mental Health Hematology Surgical Kinesiotherapist 2471B0102X Non-individual 172A00000X Infectious Disease Uveitis and Ocular Inflammatory Disease Therapist Hearing Instrument Specialist General Dentistry Practitioner Pediatric Cardiology 2472B0301X 385H00000X 2086H0002X Nuclear Imaging & Therapy Respiratory Therapist, Certified Clinical Ethicist Genetic Counselor, MS Gerontology Specialization 261QM1300X 261QR0800X Nephrologist 207V00000X Respite Care, Mental Illness, Child 111NR0200X Prosthesis / Orthotics HCBS Facility 1835X0200X 320800000X Home Delivered Meals Art Therapist 282J00000X Supports Brokerage 207PS0010X 2081S0010X 202K00000X 225600000X Quality Management 207WX0107X 2086S0105X State Agency 1835C0205X Clinic Pharmacy 111NS0005X Rehabilitation, Driver 261QX0200X 2471C1106X Agencies Adult Care Home 1835C0206X 2278E1000X Aerospace Medicine Medical Oncology 164X00000X Mental Health Occupational Medicine Radiation Oncology Manager Care Organization (MCO) 133V00000X 207NS0135X 207ZH0000X Nursing Facility Supplies 207YS0123X Dental Assistant 111NI0900X Radiation Oncology 246Z00000X Poetry Therapist Physical Therapy Assistant 2080P0006X Perfusionist Urology Sports Medicine Electrophysiology, Clinical Air Carrier Nutrition, Education 225XG0600X Physical Medicine & Rehabilitation 207YX0905X Massage Therapist 261QM3000X Military and U.S. Coast Guard Ambulatory Procedure 364SP0200X Marriage and Family Counselor Technician, Other 152WX0102X Mobile Lab 235Z00000X other 324500000X Laboratories Continence Care Midwife, Certified Occupational Therapy Assistant Medicare DSNP Submitter Hand 2080I0007X Gerontological Nutrition 246ZB0500X Clinical Nurse Specialist Midwife, Lay 1223X2210X Skilled Nursing Facility (SNF) 224ZE0001X Hospice and Palliative Medicine 2083X0100X RBMS Therapeutic Foster Care Military/U.S. Coast Guard Transport 207XX0004X 281P00000X Taxi Clinic Solid Organ Transplant Pharmacist Biomedical Photographer Pediatric Surgery Radiology 3336L0003X Forensic EEG 172P00000X Adult Reconstructive Orthopaedic Surgery 103G00000X Reflexologist 224Z00000X Homemaker Pediatric Transplant Hepatology Physician Diabetes Specialist (Family Medicine) Non-individual Hearing and Speech Blood Banking Obstetric, High-Risk Alzheimer Center (Dementia Center) Point of Service 246YC3301X Psychiatric Hospital Ophthalmology Podiatrist 2470A2800X 251C00000X Female Pelvic Medicine and Reconstructive Surgery Adult Development & Aging Nursing Home Administrator 163WH0500X Contact Lens Fitter Critical Access Advanced Practice Dental Therapist Lactation Non-RN Counselor Case Manager (Targeted) 207YX0901X Sleep Medicine Radiology 163WS0200X 146M00000X 246YC3302X 163WX0106X 252Y00000X 207UN0902X Thoracic Surgeon Exclusive Provider Organization Epilepsy 175F00000X Audiologist Child & Adolescent Psychiatry 3336I0012X Primary Care Periodontist Dentist Anesthesiologist 1744R1103X 251F00000X 207ZM0300X 331L00000X Cardiology Pharmacy Technician Allergist 207UN0903X Common Carrier (Ambulatory) Methadone Clinic 1744R1102X 261QA0900X Psychiatry & Neurology 152WV0400X 207VC0300X 385HR2065X Care Coordinator for Pregnant Women Free Standing Birthing Center 125J00000X Prosthetic/Orthotic Supplier 213EP0504X Institutional Pharmacy 225XH1200X Administrator ntermediate Care Facility, Intellectual Disabilities Case Management 261QA0600X Women's Health Specialist/Technologist, Other Medicare Defined Swing Bed Unit Taxi Orthopedic Cardiac Rehabilitation 2084E0001X 2085R0001X Pulmonary Diagnostics Technologists, Technicians & Other Technical Service Providers Ambulatory Health Care Facilities Critical Care Medicine Adult Medicine 207QS1201X 163WC1400X Oral Pathologist 213ER0200X Hemapheresis Practitioner Clinical Informatics 261QV0200X Pediatric Infectious Diseases Acute Care Technician, Pathology 341600000X 363LA2100X 225XP0200X Psychiatric/Mental Health, Community Respiratory, Developmental, Rehabilitative and Restorative Service Providers 204D00000X Adult Companion Foot Surgery 374U00000X 246X00000X Family Planning Clinic Physician Nutrition Specialist (Family Medicine) Anesthesiologist Pediatric Gastroenterology 261QD1600X Radiology, Mammography 261QE0700X Substance Abuse Treatment, Children Exercise & Sports Assisted Living Other 292200000X Advance Practice Nurse Driving & Community Mobility Specialization 207XX0005X Surgical Technologist Podiatric Medicine & Surgery Service Providers Vascular Surgery Human Factors Community/Retail Pharmacy 261QP2000X Nurse Practitioner (Other) Phlebotomy 2251E1200X 3336N0007X Sports Medicine Rheumatology 2080P0216X Clinical & Laboratory Dermatological Immunology Dietary & Nutritional Service Providers 2085D0003X Pediatric Otolaryngology 163WM0705X 207YX0602X Allergy & Immunology 207RA0401X Neuromuscular Medicine**** Transportation Services N/A 283Q00000X 246QL0900X Obstetrician Long Term Care Pharmacy 207Y00000X Critical Access Hospital VA 246QL0901X 261QM0855X Naturopath 2086P0122X 111NI0013X 2080P0214X Radiation Therapist 3140N1450X Nuclear Radiology Surgery of the Hand Federally Qualified Health Clinic (FQHC) Registered Record Administrator Reproductive Endocrinology 2084P0015X 286500000X Substance Abuse Rehabilitation Facility 261Q00000X Physician Assistant Public Health, State or Local 163WC0200X Oncology Pharmacist Pediatric Clinic 163WN0300X 261QR0401X Family Nurse Practitioner Acute Care 2081P2900X Licensed Practical Counselor 103TP2701X 261QC1500X Long Term Care Hospital Pain Medicine 372500000X Pharmacy Technician Group/Multi-Specialty 363LX0106X 2251N0400X 207T00000X 261QR0400X Laboratory Management Lactation Consultant, Non-RN 080 081 082 Rehabilitation Facility 083 084 2278C0205X 085 086 087 088 101YA0400X Nursing Care Orthopaedic Surgery of the Spine Marriage & Family Therapist 207RH0005X 2084H0002X 1744P3200X Midwife, Certified Nurse 133VN1201X Freestanding X-Ray Clinic 090 207QB0505X 091 Ophthalmologist Cornea & External Diseases Specialist 092 093 207N00000X 094 095 Respite Care Psychiatric Unit 231HA2500X 372600000X Ambulance 103TR0400X Endodontics 207ZP0213X 3416S0300X 225CA2500X Department of Veterans Affairs (VA) Pharmacy 2471C1101X 208000000X 363LP0200X Transportation Provider Special Hospital Medically Fragile Infants and Children Day Care 156FX1900X Neuromusculoskeletal Medicine, Sports Medicine 207XS0106X Adult Day Care Mental Health Provider 163WI0600X 225400000X 282E00000X Student, Health Care 207RH0003X 125Q00000X 1835G0303X 261QR0405X Certified Clinical Social Worker 171000000X Physical Therapy 2084N0400X Clinical Cytogenetic 1835P1200X 1835S0206X 1223P0221X Sports Physician Land Transport 247100000X 207LP2900X 111NP0017X 363LF0000X Clinical Ethicist Counselor 207RH0002X Physical Therapist 261QR0404X Physician Nutrition Specialist (Pediatrics) 213ES0000X 207LP3000X 332S00000X 261QM0850X Assistive Technology Family 2084N0402X 347C00000X Medical Biochemical Genetics Obstetric Nurse Practitioner Medical-Surgical 261QE0002X 283X00000X Durable Medical Equipment & Medical Supplies Restorative Service Providers 207PH0002X 2081H0002X Addiction Psychiatry 111NN0400X Surgical Critical Care 208VP0000X Athletic Trainer 261QG0250X 103T00000X Compounding Pharmacy 207Q00000X 208200000X Anatomic Pathology 207RH0000X Doula Cardiopulmonary Registered Nurse First Assistant 3416L0300X 344600000X Gastroenterology 1835E0208X 3336H0001X Gynecologic Oncology 333600000X 332U00000X Ocularist Physical Therapist Water Transport 225B00000X 2471M2300X Rehabilitation Administrator 207QG0300X General Acute Care Hospital 364SP0808X 246W00000X 207RA0002X 156FC0800X 2279S1500X Technician, Health Information Endoscopy 364SP0807X 103TC0700X 207RS0010X 2083S0010X 207VX0000X Chiropractor Behavioral Health & Social Services Providers 261QF0400X Customized Equipment Magnetic Resonance Imaging (MRI) 207RA0001X Pain Management 207RA0000X 2085B0100X 207VC0200X 163WH0200X 111NN1001X Nutrition Support Pharmacist Family Health Radiologic Technologist Ambulatory Surgery Community Health Osteopathic Manipulative Medicine Neurologist 167G00000X DME/Medical Supply Dealer 246R00000X Adolescent Medicine Electroneurodiagnostic Recreational Therapist Assistant 364SP0809X 207RE0101X 363LW0102X 374T00000X Suppliers 152WC0802X Behavior Analyst Sports 207RS0012X 225XN1300X Technician/Technologist Pediatric Pulmonology 246RH0600X 229N00000X 364SX0106X Miscellaneous Non-certified Midwife 224ZR0403X 246ZN0300X Pharmacist Pediatric Anesthesiology 282NC0060X 3747P1801X 225800000X Assisted Living Facility 364SC1501X Addiction Medicine Thoracic Surgery (Cardiothoracic Vascular Surgery) Chore Provider Outpatient Mental Health Clinic General Care 364SH1100X 222Q00000X Neurology with Special Qualifications in Child Neurology Recreation Therapist Assistive Technology Supplier 173F00000X 163WP0200X 207PE0005X 225XR0403X 282NW0100X 103TC1900X Chemical Pathology 163WW0000X 2471Q0001X 172M00000X Neurology 261QS0112X 207VB0002X Clinical Pharmacology Gastroenterology General Practice 273100000X Allopathic & Osteopathic Physicians 207PE0004X 374J00000X 163WA0400X Continuing Education/Staff Development 207WX0009X Critical Access Adolescent Medicine General Internist Music Therapist Critical Care Pediatric Hematology-Oncology 207RI0200X Medical Specialty 183500000X Radiation Therapy Dietetic Technician, Registered Orthopedic Assistant Computed Tomography Foot & Ankle Surgery Vascular Neurology 172V00000X Hand Surgeon 2084P0802X 1710I1002X 364SF0001X Rheumatologist Organ Procurement Organization Mobile X-Ray Clinic Geneticist, Medical (PhD) 163WN1003X 207RB0002X 2083B0002X Federally Qualified Health Center (FQHC) 103TS0200X 207NP0225X Home Health Dietitian, Registered Ambulance Single Specialty Community Health Behavioral Analyst Clinical & Laboratory Immunology Oncology 3418M1110X Pediatric 253Z00000X 246ZC0007X Behavior Technician HIV Case Manager 2084P0800X Medical Genetics 246ZX2200X 207QP0002X Holistic 163WG0000X Student Health 2085U0001X Pharmacy 163WP2201X Transportation Network Company 246YR1600X 311Z00000X Adult Health 261QP1100X 1041S0200X 246QI0000X 133NN1002X 163WX0003X Histology Dental Therapist Epilepsy Unit Neuromusculoskeletal Medicine & OMM Clinical Pathology 207QB0002X Body Imaging 363AM0700X 2084S0012X 207VE0102X Pediatric Pathology Vascular & Interventional Radiology Public Medicine 2084P0805X 101YM0800X 213E00000X Emergency Medical Technician, Basic Residential Treatment Facility, Intellectual and/or Developmental Disabilities 261QL0400X Mental Health Providers 1041C0700X Psychiatric Otorhinolaryngology & Head-Neck Radiation Therapist Therapist - Non-Certified Transportation Network Company (Uber, Lyft, etc) 246ZB0600X Forensic Pathology 261QP2300X Cardiologist Behavioral Neurology & Neuropsychiatry Specialty 2084P0804X 1223P0700X Lodging Diabetes Educator Home Modifications Ophthalmologist Neonatal Intensive Care Agencies Hospitalist Local Education Agency (LEA) 261QM1000X Preventative Medicine 2278G0305X Thermography 374700000X 261QU0200X 2085N0904X Neurophysiologic Tech Specialist Cardiovascular Invasive Specialist 364SA2100X Family Medicine 1710I1003X Urologist Medical Laboratory Radiography Rehabilitation Hospital 103TM1800X Oxygen Equipment & Supplies 2081P0010X Occupational Therapist 291900000X Interventional Cardiology Sonography 2251P0200X Optometric Technician Dental 2472D0500X 332BP3500X 225XP0019X Research Study Assistant 275N00000X Rural 246QH0600X Military Health Care Provider 261QR1300X Intermediate Care Facility, Intellectual Disabilities 207ZF0201X Allopathic & Osteopathic Physicians Psychiatric Pharmacist Clinical Biochemical Genetics Research Data Abstractor/Coder Intermediate Care Facility, Mental Illness 163WE0900X Gynecology 364SP1700X Psychosomatic Medicine 163WR0400X Internal Medicine Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 261QA3000X 302R00000X 163WA2000X Clinical Pharmacology Health Educator Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Submitter Only 207ZC0500X 163WC1500X 2865M2000X Trading Partner Geriatric Medicine Clinical 156FX1101X Case Manager/Care Coordinator Advantage Home Delivered Meal 276400000X 176B00000X Veterinary Compounded Sterile Preparations Procedural Dermatology 2084F0202X Proctologist Physician Assistant 225XH1300X 2084S0010X 156FX1100X 364SC2300X Military or U.S. Coast Guard Ambulance, Ground Transport Immunology 225A00000X Maternal Fetal Medicine Residential Care Facility Pediatric Oncology Nutrition, Pediatric 2278P4000X Clinical Medical Laboratory Ambulatory Surgical Center (ASC) School Pain Management Pharmacist Military General Acute Care Hospital. Operational (Transportable) 363LA2200X 207QS0010X Social Worker Allopathic & Osteopathic Physicians Clinical Genetics (M.D.) 224ZL0004X Cardiac-Interventional Technology 226000000X 390200000X Homemaker Services 2278P3900X Oncologist (including Hematology) 1835N0905X Pediatric Radiology 2084P0005X Home Infusion Therapy Pharmacy 207ZB0001X 225C00000X Military or U.S. Coast Guard Ambulance, Water Transport 364SS0200X Pediatric Rehabilitation Medicine 207RG0300X Technician, Cardiology 246ZE0600X Residential Treatment Facilities Medical Clinic Obstetric, Inpatient 1835N1003X Critical Care Medicine Dietary Manager Dentist Women 374K00000X 103TF0000X 2472V0600X Cytotechnology 152WL0500X 315D00000X Research 226300000X Military Hospital 207YP0228X Darkroom Molecular Genetic Pathology Medical Toxicology Physician Nutrition Specialist Diagnostic Ultrasound 246QM0900X Health Psychoanalyst Rehabilitation, Blind 363LG0600X 2080S0012X Residential Treatment Facility, Emotionally Disturbed Children 2080P0008X Eye and Vision Services Providers 207RC0200X 207ZN0500X 174MM1900X 261QF0050X Train Non-capitation Provider Rehabilitation, Cardiac Facilities 364S00000X Birthing 1835P0018X 163WH1000X Lactation Consultant Genetics Family Member Patient Transport 3336C0002X 364SE1400X General Pediatrician Hand Surgery 364SP0811X 231H00000X 207RM1200X 405300000X 163WX0800X 103TE1100X 163WP1700X 133VN1301X 343900000X 163WC3500X Pulmonary Disease 2080S0010X 253J00000X Nurse Massage Therapist (NMT) 364SP0810X Addiction Counselor Prosthodontist 173C00000X 2083A0300X Psychiatric Nurse 1223P0300X 203BP0901N Palliative/Hospice 343800000X 3336C0004X Community Mental Health Center (CMHC) 364SP0813X Eye Bank Facial Plastic Surgery 163WF0300X 207ZP0007X Cytopathology Medical Toxicology Graphics Methods Hematology Hypertension Specialist Medical Foods Supplier Hemodialysis DDSD-Supportive Living Arrangements 213ES0103X 3336C0003X 170300000X Behavioral Health & Social Service Providers 176P00000X 364SP0812X 1835P1300X Pharmacotherapy Pharmacist 225XM0800X Specialist/Technologist, Health Information 101YP1600X 283XC2000X E.I. Case Management Oral Medicinist 2085P0229X Interventional Pain Medicine Nurse's Aide Geriatrics 364SR0400X 363LN0005X Clinical Psychologist 364SH0200X 305S00000X Wound Care Advanced Heart Failure and Transplant Cardiology Ophthalmic Assistant Optometrist Other Service Providers Geriatric Practitioner Military Outpatient Operational (Transportable) Component Plastic Surgery Within the Head and Neck 246RM2200X Prosthetics Case Management Transplantation 2279G1100X Undersea and Hyperbaric Medicine 2082S0099X 156FC0801X 2279E0002X Ophthalmic Plastic and Reconstructive Surgery Funeral Director Spinal Cord Injury Medicine Psychiatric Residential Treatment Facility 163WM0102X 156FX1800X 207LC0200X 302F00000X Pediatric Oncology Sports Medicine 2278G1100X 207SM0001X Dentist Therapist Clinical Exercise Physiologist 363LP2300X Behavioral Analyst Classification Direct Support Services 163WD0400X 163WR0006X 163W00000X 235500000X Parenteral & Enteral Nutrition Radiology, Mobile Respiratory, Developmental 231HA2400X 305R00000X Psychiatric/Mental Health, Child & Adolescent Clinical Exercise Physiologist