CMS-1500 Box 24J / 33a • NPI
1013964873
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RG0100X (CMS 10)
Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)
Box 32 Service Location & ZIP+4
4101 N ROXBORO ST, DURHAM, NC, 27704-2121
✓ 9-Digit EDI 837 ZIP+4 (27704-2121)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1013964873 (MANAL F ABDELMALEK, 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 #1013964873)
Medicare Beneficiaries
111
Total Billed Services
153
Distinct CPT/HCPCS Codes
19
Medicare Allowed Total
$17,909.92
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 17 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 15 |
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 20 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Carvedilol Carvedilol | 11 | <11 |
| Levothyroxine Sodium Levothyroxine Sodium | 11 | <11 |
| Ofev Nintedanib Esylate | 11 | <11 |
| Xifaxan Rifaximin | 12 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1013964873 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MANAL F ABDELMALEK, MD |
| Plain-English Specialty | Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) NUCC Code: 207RG0100X (Internal Medicine, Gastroenterology) |
| Certifying / Licensing Body | American Board of Internal Medicine — Gastroenterology |
| Practice Location Address | 4101 N ROXBORO ST, DURHAM, NC, 27704-2121 |
| Practice Telephone / Fax | Tel: (919) 684-8111 |
| Administrative Mailing Address | 200 1ST ST SW, ROCHESTER, MN, 55905-0001 |
| Enumeration & Last Sync | Enumerated: 2006-05-27 | CMS Record Updated: 2022-03-31 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RG0100X)
What Does Taxonomy Code 207RG0100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RG0100X translates to:
"Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MANAL F ABDELMALEK, MD)
Typical CPT / Diagnostic Procedures:- Screening & Diagnostic Colonoscopy with Polypectomy (CPT 45378–45385)
- Esophagogastroduodenoscopy / Upper GI Endoscopy (EGD — CPT 43239)
- Hepatic Elastography (FibroScan) & Fractionated Bilirubin/LFT Workup
- Internal Hemorrhoid Banding & Anorectal Diagnostic Evaluation
- Proton Pump Inhibitors (Omeprazole, Pantoprazole, Esomeprazole)
- H. pylori Quadruple & Triple Eradication Regimens
- Mesalamine & Biologic Immunomodulators (Inflammatory Bowel Disease)
- Osmotic Laxatives, Rifaximin & Ursodeoxycholic Acid
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RG0100X — Internal Medicine, GastroenterologyPlain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) | State: NC | License: 00309 | Primary: Secondary |
207RG0100X — Internal Medicine, GastroenterologyPlain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) | State: MN | License: 36210 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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