KADI COE, PA-C — NPI 1023510674 (Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) in DAVISON, MI)

CMS-1500 Box 24J / 33a • NPI

1023510674

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207R00000X (CMS 11)

Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)

Box 32 Service Location & ZIP+4

9040 DAVISON RD, DAVISON, MI, 48423-1037

✓ 9-Digit EDI 837 ZIP+4 (48423-1037)

Practice Phone & Referral Fax

(810) 412-5700

Fax: (810) 412-5755

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1023510674 (KADI COE, PA-C) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1023510674` (NPI-1 Individual Practitioner)
Provider / Legal Name	KADI COE, PA-C
Plain-English Specialty	Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: `207R00000X` (Internal Medicine)
Certifying / Licensing Body	American Board of Internal Medicine (ABIM)
Practice Location Address	9040 DAVISON RD, DAVISON, MI, 48423-1037
Practice Telephone / Fax	Tel: (810) 412-5700 \| Fax: (810) 412-5755
Administrative Mailing Address	6043 HARBOR CT, WASHINGTON, MI, 48094-1232
Enumeration & Last Sync	Enumerated: 2018-02-28 \| CMS Record Updated: 2024-02-06

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9040 DAVISON RD, DAVISON, MI, 48423-1037

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Plain-English Taxonomy & CMS Crosswalk (207R00000X)

What Does Taxonomy Code 207R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KADI COE, PA-C)

Typical CPT / Diagnostic Procedures:

Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
Preoperative Medical Risk Assessment & Cardiac Clearance
Chronic Kidney, Hepatic & Metabolic Panel Interpretation
Adult Inpatient Hospitalist Management & Discharge Coordination

Common Therapeutic Classes:

Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225X00000X` — Occupational Therapist Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: MI \| License: `5201005998` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: MI \| License: `5601012064` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KADI COE, PA-C (NPI #1023510674)