CMS-1500 Box 24J / 33a • NPI
1003000126
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208M00000X (CMS C6)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist
Box 32 Service Location & ZIP+4
6410 ROCKLEDGE DR STE 304, BETHESDA, MD, 20817-1841
✓ 9-Digit EDI 837 ZIP+4 (20817-1841)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1003000126 (ARDALAN ENKESHAFI, 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
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1003000126)
Medicare Beneficiaries
328
Total Billed Services
399
Distinct CPT/HCPCS Codes
15
Medicare Allowed Total
$46,472.65
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 36 |
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 150 |
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 63 |
99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 16 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 70 |
99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 22 |
99239 | Hospital discharge day management, more than 30 minutes | 27 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Abrysvo Rsv Vacc, Pref A And Pref B/Pf | 20 | 20 |
| Boostrix Tdap Diphth,pertuss(Acell),tet Vac | 12 | 12 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1003000126 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ARDALAN ENKESHAFI, M.D. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist NUCC Code: 208M00000X (Hospitalist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 6410 ROCKLEDGE DR STE 304, BETHESDA, MD, 20817-1841 |
| Practice Telephone / Fax | Tel: (443) 602-6207 |
| Administrative Mailing Address | 6410 ROCKLEDGE DR STE 304, BETHESDA, MD, 20817-1841 |
| Enumeration & Last Sync | Enumerated: 2007-08-31 | CMS Record Updated: 2025-05-28 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208M00000X)
What Does Taxonomy Code 208M00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208M00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ARDALAN ENKESHAFI, M.D.)
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 |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: MD | License: D0000290 | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: MD | License: D0068455 | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: VA | License: 0101254037 | Primary: Secondary |
208M00000X — HospitalistPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist | State: DC | License: MD600003480 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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