DAVID P AL-ADRA, MD — NPI 1093224776 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1093224776

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

204F00000X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Transplant Surgery

Box 32 Service Location & ZIP+4

600 HIGHLAND AVE, MADISON, WI, 53792-0001

✓ 9-Digit EDI 837 ZIP+4 (53792-0001)

Practice Phone & Referral Fax

(608) 263-1384

Fax: (608) 262-5624

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1093224776 (DAVID P AL-ADRA, 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

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	`1093224776` (NPI-1 Individual Practitioner)
Provider / Legal Name	DAVID P AL-ADRA, MD
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Transplant Surgery NUCC Code: `204F00000X` (Transplant Surgery)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	600 HIGHLAND AVE, MADISON, WI, 53792-0001
Practice Telephone / Fax	Tel: (608) 263-1384 \| Fax: (608) 262-5624
Administrative Mailing Address	7974 UW HEALTH CT, MIDDLETON, WI, 53562-5531
Enumeration & Last Sync	Enumerated: 2017-09-25 \| CMS Record Updated: 2021-01-28

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

600 HIGHLAND AVE, MADISON, WI, 53792-0001

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Plain-English Taxonomy & CMS Crosswalk (204F00000X)

What Does Taxonomy Code 204F00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 204F00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Transplant Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Transplant Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DAVID P AL-ADRA, 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

Common Therapeutic Classes:

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
`208600000X` — Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: WI \| License: `67508` \| Primary: Secondary
`204F00000X` — Transplant Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Transplant Surgery	State: WI \| License: `67508` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DAVID P AL-ADRA, MD (NPI #1093224776)