CMS-1500 Box 24J / 33a • NPI
1053727776
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RC0001X (CMS 21)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
101 E 9TH ST, PANA, IL, 62557-1785
✓ 9-Digit EDI 837 ZIP+4 (62557-1785)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1053727776 (ABDUR RAHMAN FUZAIL AHMAD) 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 #1053727776)
Medicare Beneficiaries
1,265
Total Billed Services
7,712
Distinct CPT/HCPCS Codes
71
Medicare Allowed Total
$583,285.89
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
33208 | Insertion of pacemaker and upper and lower heart chamber electrode | 25 |
33225 | Insertion of left lower heart electrode for pacemaker or defibrillator | 23 |
33228 | Removal and replacement of dual lead permanent pacemaker | 14 |
33249 | Insertion of implantable defibrillator system | 18 |
33285 | Insertion of heart rhythm monitor under skin | 17 |
92960 | External shock to heart to regulate heart beat | 73 |
93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 528 |
93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 927 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amiodarone Hcl Amiodarone Hcl | 312 | 112 |
| Atenolol Atenolol | 15 | <11 |
| Carvedilol Carvedilol | 126 | 45 |
| Cephalexin Cephalexin | 12 | 11 |
| Dabigatran Etexilate Dabigatran Etexilate Mesylate | 25 | 12 |
| Digoxin Digoxin | 21 | <11 |
| Diltiazem 24hr Er (Cd) Diltiazem Hcl | 58 | 25 |
| Dofetilide Dofetilide | 119 | 36 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1053727776 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ABDUR RAHMAN FUZAIL AHMAD |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RC0001X (Internal Medicine, Clinical Cardiac Electrophysiology) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 101 E 9TH ST, PANA, IL, 62557-1785 |
| Practice Telephone / Fax | Tel: (217) 562-2131 |
| Administrative Mailing Address | 619 E MASON ST STE 4P57, SPRINGFIELD, IL, 62701-1034 |
| Enumeration & Last Sync | Enumerated: 2014-07-02 | CMS Record Updated: 2026-02-10 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RC0001X)
What Does Taxonomy Code 207RC0001X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RC0001X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ABDUR RAHMAN FUZAIL AHMAD)
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
- 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 |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: WI | License: 67263 | Primary: Secondary |
207RC0000X — Internal Medicine, Cardiovascular DiseasePlain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist) | State: IA | License: MD-49663 | Primary: Secondary |
207RC0001X — Internal Medicine, Clinical Cardiac ElectrophysiologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: IA | License: MD-49663 | Primary: Secondary |
207RC0001X — Internal Medicine, Clinical Cardiac ElectrophysiologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: IL | License: 036.159550 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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