CMS-1500 Box 24J / 33a • NPI
1013595677
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2086X0206X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Oncology
Box 32 Service Location & ZIP+4
333 COTTMAN AVE # C-308, PHILADELPHIA, PA, 19111-2497
✓ 9-Digit EDI 837 ZIP+4 (19111-2497)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1013595677 (SANIYA ABLATT, 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 #1013595677)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Ondansetron Odt Ondansetron | 13 | 13 |
| Oxycodone Hcl Oxycodone Hcl | 12 | 12 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1013595677 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SANIYA ABLATT, M.D |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Oncology NUCC Code: 2086X0206X (Surgery, Surgical Oncology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 333 COTTMAN AVE # C-308, PHILADELPHIA, PA, 19111-2497 |
| Practice Telephone / Fax | Tel: (215) 313-8202 |
| Administrative Mailing Address | 333 COTTMAN AVE # C-308, PHILADELPHIA, PA, 19111-2497 |
| Enumeration & Last Sync | Enumerated: 2021-04-01 | CMS Record Updated: 2026-05-15 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2086X0206X)
What Does Taxonomy Code 2086X0206X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086X0206X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Oncology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SANIYA ABLATT, 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 |
|---|---|
2086X0206X — Surgery, Surgical OncologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Oncology | State: PA | License: MT236571 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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