HAFSA ABDULLA, MD — NPI 1093240855 (Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) in GRAND RAPIDS, MI)

CMS-1500 Box 24J / 33a • NPI

1093240855

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207RC0200X (CMS 11)

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

Box 32 Service Location & ZIP+4

4100 LAKE DR SE STE 200, GRAND RAPIDS, MI, 49546-8292

✓ 9-Digit EDI 837 ZIP+4 (49546-8292)

Practice Phone & Referral Fax

(616) 267-8244

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1093240855 (HAFSA ABDULLA, 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	`1093240855` (NPI-1 Individual Practitioner)
Provider / Legal Name	HAFSA ABDULLA, MD
Plain-English Specialty	Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: `207RC0200X` (Internal Medicine, Critical Care Medicine)
Certifying / Licensing Body	American Board of Internal Medicine (ABIM)
Practice Location Address	4100 LAKE DR SE STE 200, GRAND RAPIDS, MI, 49546-8292
Practice Telephone / Fax	Tel: (616) 267-8244
Administrative Mailing Address	100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI, 49503-2560
Enumeration & Last Sync	Enumerated: 2017-04-28 \| CMS Record Updated: 2024-05-20

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4100 LAKE DR SE STE 200, GRAND RAPIDS, MI, 49546-8292

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Plain-English Taxonomy & CMS Crosswalk (207RC0200X)

What Does Taxonomy Code 207RC0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RC0200X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 81 (Physician/Critical Care (Intensivists))
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 (HAFSA ABDULLA, MD)

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
`207RC0200X` — Internal Medicine, Critical Care Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: MI \| License: `4301509204` \| Primary: Yes (Primary)
`207RP1001X` — Internal Medicine, Pulmonary Disease Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: MI \| License: `4301509204` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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HAFSA ABDULLA, MD (NPI #1093240855)