CMS-1500 Box 24J / 33a • NPI
1093731382
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RP1001X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
744 S WEBSTER AVE, GREEN BAY, WI, 54301-3505
✓ 9-Digit EDI 837 ZIP+4 (54301-3505)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1093731382 (MANAR K AL SHAHROURI, 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
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 #1093731382)
Medicare Beneficiaries
211
Total Billed Services
752
Distinct CPT/HCPCS Codes
52
Medicare Allowed Total
$60,577.37
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 12 |
71250 | Ct scan of chest without contrast | 13 |
94010 | Test to measure expiratory airflow and volume | 18 |
94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 13 |
94726 | Test to determine lung volumes using sensors | 28 |
94729 | Test to examine how well the lungs exchange gases | 29 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 19 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 19 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 74 | 28 |
| Ambrisentan Ambrisentan | 12 | <11 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 74 | 18 |
| Arnuity Ellipta Fluticasone Furoate | 18 | <11 |
| Azithromycin Azithromycin | 61 | 27 |
| Breo Ellipta Fluticasone/Vilanterol | 25 | <11 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 15 | <11 |
| Combivent Respimat Ipratropium/Albuterol Sulfate | 27 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1093731382 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MANAR K AL SHAHROURI, MD |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RP1001X (Internal Medicine, Pulmonary Disease) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 744 S WEBSTER AVE, GREEN BAY, WI, 54301-3505 |
| Practice Telephone / Fax | Tel: (920) 433-3706 | Fax: (920) 433-3582 |
| Administrative Mailing Address | PO BOX 22487, GREEN BAY, WI, 54305-2487 |
| Enumeration & Last Sync | Enumerated: 2006-07-14 | CMS Record Updated: 2022-07-25 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RP1001X)
What Does Taxonomy Code 207RP1001X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RP1001X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MANAR K AL SHAHROURI, 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
- 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 |
|---|---|
207RP1001X — Internal Medicine, Pulmonary DiseasePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: WI | License: 48991-20 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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