CMS-1500 Box 24J / 33a • NPI
1023379328
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2083X0100X (CMS 84)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine
Box 32 Service Location & ZIP+4
1630 COMMANCHE AVE, GREEN BAY, WI, 54313-5753
✓ 9-Digit EDI 837 ZIP+4 (54313-5753)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1023379328 (ERIC ABDUL, 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1023379328 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ERIC ABDUL, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine NUCC Code: 2083X0100X (Preventive Medicine, Occupational Medicine) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1630 COMMANCHE AVE, GREEN BAY, WI, 54313-5753 |
| Practice Telephone / Fax | Tel: (920) 430-4700 |
| Administrative Mailing Address | PO BOX 22487, GREEN BAY, WI, 54305-2487 |
| Enumeration & Last Sync | Enumerated: 2012-06-04 | CMS Record Updated: 2024-02-22 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2083X0100X)
What Does Taxonomy Code 2083X0100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2083X0100X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ERIC ABDUL, 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 |
|---|---|
2083X0100X — Preventive Medicine, Occupational MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine | State: WI | License: 83115-20 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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