CMS-1500 Box 24J / 33a • NPI
1053332296
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207VF0040X (CMS 16)
Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
Box 32 Service Location & ZIP+4
15265 NORTHLINE RD, SOUTHGATE, MI, 48195-2487
✓ 9-Digit EDI 837 ZIP+4 (48195-2487)
⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT:
NPI
1053332296 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(2) — Conviction Relating to Patient Abuse or Neglect — Effective 2024-10-20). Verify before submitting Medicare/Medicaid claims.
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1053332296 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | HUSAM ABED, MD |
| Plain-English Specialty | Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: 207VF0040X (Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery) |
| Certifying / Licensing Body | American Board of Obstetrics and Gynecology (ABOG) |
| Practice Location Address | 15265 NORTHLINE RD, SOUTHGATE, MI, 48195-2487 |
| Practice Telephone / Fax | Tel: (734) 589-2166 |
| Administrative Mailing Address | 12025 INA DR, STERLING HEIGHTS, MI, 48312-5055 |
| Enumeration & Last Sync | Enumerated: 2006-07-22 | CMS Record Updated: 2019-02-25 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207VF0040X)
What Does Taxonomy Code 207VF0040X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207VF0040X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (HUSAM ABED, 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 |
|---|---|
207VF0040X — Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic SurgeryPlain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) | State: MI | License: 4301075802 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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