CMS-1500 Box 24J / 33a • NPI
1013995851
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207V00000X (CMS 16)
Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
Box 32 Service Location & ZIP+4
6890 GREENSBORO RD, RIDGEWAY, VA, 24148-3555
✓ 9-Digit EDI 837 ZIP+4 (24148-3555)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1013995851 (MAKUNDA ABDUL-MBACKE, 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 #1013995851)
Medicare Beneficiaries
31
Total Billed Services
255
Distinct CPT/HCPCS Codes
26
Medicare Allowed Total
$16,350.13
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 33 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 27 |
99459 | Pelvic exam | 45 |
G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 16 |
G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 21 |
G0444 | Annual depression screening, 5 to 15 minutes | 21 |
G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 40 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amlodipine Besylate Amlodipine Besylate | 12 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 18 | <11 |
| Fluconazole Fluconazole | 17 | 12 |
| Medroxyprogesterone Acetate Medroxyprogesterone Acetate | 13 | <11 |
| Metronidazole Metronidazole | 19 | 16 |
| Valacyclovir Valacyclovir Hcl | 27 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1013995851 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MAKUNDA ABDUL-MBACKE, MD |
| Plain-English Specialty | Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: 207V00000X (Obstetrics & Gynecology) |
| Certifying / Licensing Body | American Board of Obstetrics and Gynecology (ABOG) |
| Practice Location Address | 6890 GREENSBORO RD, RIDGEWAY, VA, 24148-3555 |
| Practice Telephone / Fax | Tel: (276) 956-1013 |
| Administrative Mailing Address | 6890 GREENSBORO RD, RIDGEWAY, VA, 24148-3555 |
| Enumeration & Last Sync | Enumerated: 2006-01-03 | CMS Record Updated: 2025-02-20 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207V00000X)
What Does Taxonomy Code 207V00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207V00000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MAKUNDA ABDUL-MBACKE, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
- Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
- Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy
- Prenatal Folic Acid, Iron & Progesterone Supplementation
- Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
- Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207V00000X — Obstetrics & GynecologyPlain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) | State: NC | License: 2010-02034 | Primary: Secondary |
207VX0000X — Obstetrics & Gynecology, ObstetricsPlain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) | State: VA | License: 0101241089 | Primary: Secondary |
207V00000X — Obstetrics & GynecologyPlain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) | State: VA | License: 0101241089 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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