CMS-1500 Box 24J / 33a • NPI
1003887407
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208G00000X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery)
Box 32 Service Location & ZIP+4
700 OLYMPIC PLAZA CIR STE 508, TYLER, TX, 75701-1952
✓ 9-Digit EDI 837 ZIP+4 (75701-1952)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1003887407 (GHULAM ABBAS, MD) 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 #1003887407)
Medicare Beneficiaries
173
Total Billed Services
488
Distinct CPT/HCPCS Codes
79
Medicare Allowed Total
$140,855.28
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
31622 | Diagnostic exam of lung airway using an endoscope | 17 |
32669 | Removal of segment of lung tissue using an endoscope | 17 |
32674 | Removal of lymph nodes of chest cavity using an endoscope | 26 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 80 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 66 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 37 |
99441 | Telephone medical discussion with physician, 5-10 minutes | 16 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Atorvastatin Calcium Atorvastatin Calcium | 13 | <11 |
| Lamotrigine Lamotrigine | 12 | <11 |
| Oxycodone Hcl Oxycodone Hcl | 17 | 16 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 17 | 17 |
| Trazodone Hcl Trazodone Hcl | 12 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1003887407 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | GHULAM ABBAS, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery) NUCC Code: 208G00000X (Thoracic Surgery (Cardiothoracic Vascular Surgery)) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 700 OLYMPIC PLAZA CIR STE 508, TYLER, TX, 75701-1952 |
| Practice Telephone / Fax | Tel: (903) 595-6680 | Fax: (903) 592-1934 |
| Administrative Mailing Address | 700 OLYMPIC PLAZA CIR STE 508, TYLER, TX, 75701-1952 |
| Enumeration & Last Sync | Enumerated: 2006-02-01 | CMS Record Updated: 2026-02-11 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (208G00000X)
What Does Taxonomy Code 208G00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208G00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (GHULAM ABBAS, MD)
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 |
|---|---|
208G00000X — Thoracic Surgery (Cardiothoracic Vascular Surgery)Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery) | State: NJ | License: 25MA09524500 | Primary: Secondary |
208G00000X — Thoracic Surgery (Cardiothoracic Vascular Surgery)Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery) | State: TX | License: V6245 | Primary: Yes (Primary) |
208G00000X — Thoracic Surgery (Cardiothoracic Vascular Surgery)Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery) | State: WV | License: 27378 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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