ADVANCED UROLOGY OF NEW MEXICO LLC — NPI 1558667873 (Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon) in LOS ALAMOS, NM)

Plain-English Taxonomy Translation (208800000X)

What Does Taxonomy Code 208800000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208800000X translates in plain language to:
"Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)"

Primary Certifying / Accrediting Authority: American Board of Urology (ABU)
When Patients Should Consult: Kidney stones causing flank pain, blood in urine (hematuria), recurrent urinary tract infections (UTIs), prostate enlargement, or urinary incontinence.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with ADVANCED UROLOGY OF NEW MEXICO LLC:

High-Volume Clinical Procedures & Diagnostics:

Diagnostic Cystourethroscopy (CPT 52000) & Urodynamic Flow Studies
Ureteroscopy with Holmium Laser Lithotripsy for Kidney Stones (CPT 52356)
Extracorporeal Shock Wave Lithotripsy (ESWL — CPT 50590)
Prostate Specific Antigen (PSA) Screening & Ultrasound-Guided Biopsy

Common Therapeutic & Prescribing Classes:

Alpha-Blockers (Tamsulosin, Alfuzosin) for BPH & Ureteral Stone Passage
5-Alpha Reductase Inhibitors (Finasteride, Dutasteride)
Targeted Urinary Antimicrobials (Nitrofurantoin, Fosfomycin, Ciprofloxacin, Septra)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	1558667873 (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED UROLOGY OF NEW MEXICO LLC
Plain-English Specialty	Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon) NUCC Code: `208800000X` (Urology)
Certifying / Licensing Body	American Board of Urology (ABU)
Practice Location Address	3917 WEST RD, SUITE 137, LOS ALAMOS, NM, 875442275
Practice Telephone / Fax	Tel: 505-661-8500 \| Fax: 505-661-0096
Administrative Mailing Address	3917 WEST RD, LOS ALAMOS, NM, 875442275
Enumeration & Last Sync	Enumerated: 2011-02-03 \| Updated: 2011-02-03
Authorized Official	PAVEL MOURACHOV (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3917 WEST RD, SUITE 137, LOS ALAMOS, NM, 875442275

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ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208800000X` — Urology Plain English: Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)	State: NM \| License: Verified \| Primary Taxonomy: Yes

ADVANCED UROLOGY OF NEW MEXICO LLC (NPI #1558667873)