CMS-1500 Box 24J / 33a • NPI
1043836562
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
204E00000X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Oral & Maxillofacial Surgery
Box 32 Service Location & ZIP+4
2145 DULUTH HWY STE B, DULUTH, GA, 30097-4007
✓ 9-Digit EDI 837 ZIP+4 (30097-4007)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1043836562 (SYED ABDUL-RAHMAN) 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
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1043836562)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 16 | 16 |
| Chlorhexidine Gluconate Chlorhexidine Gluconate | 20 | 19 |
| Ibuprofen Ibuprofen | 16 | 16 |
| Oxycodone Hcl Oxycodone Hcl | 23 | 23 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1043836562 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SYED ABDUL-RAHMAN |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Oral & Maxillofacial Surgery NUCC Code: 204E00000X (Oral & Maxillofacial Surgery) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2145 DULUTH HWY STE B, DULUTH, GA, 30097-4007 |
| Practice Telephone / Fax | Tel: (678) 866-1050 |
| Administrative Mailing Address | 2145 DULUTH HWY STE B, DULUTH, GA, 30097-4007 |
| Enumeration & Last Sync | Enumerated: 2020-06-20 | CMS Record Updated: 2026-06-24 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (204E00000X)
What Does Taxonomy Code 204E00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 204E00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Oral & Maxillofacial Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SYED ABDUL-RAHMAN)
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 |
|---|---|
204E00000X — Oral & Maxillofacial SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Oral & Maxillofacial Surgery | State: GA | License: 111424 | Primary: Yes (Primary) |
1223S0112X — Dentist, Oral and Maxillofacial SurgeryPlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: GA | License: DN123651 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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