CMS-1500 Box 24J / 33a • NPI
1003079773
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207N00000X (CMS 07)
Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)
Box 32 Service Location & ZIP+4
4715 E. CAMP LOWELL DRIVE, TUCSON, AZ, 85712-1256
✓ 9-Digit EDI 837 ZIP+4 (85712-1256)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1003079773 (INDERJIT CHABRA, MD, PhD) 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 #1003079773)
Medicare Beneficiaries
1,343
Total Billed Services
6,534
Distinct CPT/HCPCS Codes
90
Medicare Allowed Total
$755,931.35
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
11102 | Biopsy of related skin growth, first growth | 13 |
11102 | Biopsy of related skin growth, first growth | 376 |
11103 | Biopsy of related skin growth, each additional growth | 134 |
11104 | Punch biopsy, first skin growth | 15 |
11200 | Removal of skin tag, 1-15 skin tags | 24 |
11302 | Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm | 13 |
11602 | Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 17 |
11603 | Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm | 73 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Ciclopirox Ciclopirox | 41 | 32 |
| Clindamycin Phosphate Clindamycin Phosphate | 77 | 49 |
| Clobetasol Propionate Clobetasol Propionate | 278 | 195 |
| Doxycycline Hyclate Doxycycline Hyclate | 70 | 44 |
| Dutasteride Dutasteride | 75 | 29 |
| Finasteride Finasteride | 41 | 18 |
| Fluocinolone Acetonide Fluocinolone Acetonide | 40 | 33 |
| Fluocinolone Acetonide Fluocinolone/Shower Cap | 11 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1003079773 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | INDERJIT CHABRA, MD, PhD |
| Plain-English Specialty | Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) NUCC Code: 207N00000X (Dermatology) |
| Certifying / Licensing Body | American Board of Dermatology (ABD) |
| Practice Location Address | 4715 E. CAMP LOWELL DRIVE, TUCSON, AZ, 85712-1256 |
| Practice Telephone / Fax | Tel: (520) 955-8395 | Fax: (520) 300-8013 |
| Administrative Mailing Address | 4715 E. CAMP LOWELL DRIVE, TUCSON, AZ, 85712-1256 |
| Enumeration & Last Sync | Enumerated: 2008-07-03 | CMS Record Updated: 2026-03-12 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207N00000X)
What Does Taxonomy Code 207N00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207N00000X translates to:
"Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (INDERJIT CHABRA, MD, PhD)
Typical CPT / Diagnostic Procedures:- Full-Body Dermoscopy & Skin Cancer Screening
- Shave, Punch & Excisional Skin Biopsy (CPT 11102–11107)
- Cryotherapy Destruction of Actinic Keratoses & Viral Warts (CPT 17000)
- Topical Corticosteroids (Triamcinolone, Clobetasol) & Calcineurin Inhibitors
- Topical & Oral Retinoids (Tretinoin, Adapalene, Isotretinoin)
- Doxycycline, Minocycline & Antifungals (Terbinafine, Ketoconazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207ND0101X — Dermatology, MOHS-Micrographic SurgeryPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: NE | License: 27328 | Primary: Secondary |
207ND0101X — Dermatology, MOHS-Micrographic SurgeryPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: SD | License: 8447 | Primary: Secondary |
207N00000X — DermatologyPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: AZ | License: 59743 | Primary: Yes (Primary) |
207N00000X — DermatologyPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: NE | License: 27328 | Primary: Secondary |
207N00000X — DermatologyPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: IA | License: 40345 | Primary: Secondary |
207N00000X — DermatologyPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: SD | License: 8447 | Primary: Secondary |
207ND0101X — Dermatology, MOHS-Micrographic SurgeryPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: AZ | License: 59743 | Primary: Secondary |
207ND0101X — Dermatology, MOHS-Micrographic SurgeryPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: IA | License: 40345 | Primary: Secondary |
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