CMS-1500 Box 24J / 33a • NPI
1104209378
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RC0000X (CMS 06)
Board-Certified Cardiologist (Heart & Blood Vessel Specialist)
Box 32 Service Location & ZIP+4
801 BROADWAY N, FARGO, ND, 58102-3641
✓ 9-Digit EDI 837 ZIP+4 (58102-3641)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104209378 (AHMED ABUZAANONA) 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 #1104209378)
Medicare Beneficiaries
3,450
Total Billed Services
7,843
Distinct CPT/HCPCS Codes
50
Medicare Allowed Total
$276,143.05
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
75561 | Mri scan of heart before and after contrast | 11 |
75574 | Ct scan of blood vessels and grafts of heart with contrast | 12 |
76376 | 3d radiographic procedure | 21 |
76377 | 3d radiographic procedure with computerized image postprocessing | 49 |
78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 146 |
78434 | Nuclear medicine study of heart muscle blood flow by pet | 146 |
78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 45 |
92960 | External shock to heart to regulate heart beat | 61 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amiodarone Hcl Amiodarone Hcl | 53 | 21 |
| Amlodipine Besylate Amlodipine Besylate | 128 | 54 |
| Atorvastatin Calcium Atorvastatin Calcium | 156 | 59 |
| Brilinta Ticagrelor | 11 | <11 |
| Bumetanide Bumetanide | 16 | <11 |
| Carvedilol Carvedilol | 106 | 51 |
| Clopidogrel Clopidogrel Bisulfate | 55 | 18 |
| Eliquis Apixaban | 217 | 53 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104209378 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AHMED ABUZAANONA |
| Plain-English Specialty | Board-Certified Cardiologist (Heart & Blood Vessel Specialist) NUCC Code: 207RC0000X (Internal Medicine, Cardiovascular Disease) |
| Certifying / Licensing Body | American Board of Internal Medicine — Cardiovascular Disease |
| Practice Location Address | 801 BROADWAY N, FARGO, ND, 58102-3641 |
| Practice Telephone / Fax | Tel: (701) 234-2000 |
| Administrative Mailing Address | PO BOX 5074, SIOUX FALLS, SD, 57117-5074 |
| Enumeration & Last Sync | Enumerated: 2015-07-06 | CMS Record Updated: 2026-09-28 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RC0000X)
What Does Taxonomy Code 207RC0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RC0000X translates to:
"Board-Certified Cardiologist (Heart & Blood Vessel Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AHMED ABUZAANONA)
Typical CPT / Diagnostic Procedures:- Transthoracic Doppler Echocardiography (TTE — CPT 93306)
- 12-Lead Electrocardiogram (ECG) & Holter / Event Arrhythmia Monitoring
- Exercise Treadmill & Myocardial Perfusion Nuclear Stress Testing
- Diagnostic Coronary Angiography & Percutaneous Coronary Intervention (PCI)
- High-Intensity Statins (Atorvastatin, Rosuvastatin) & Ezetimibe
- Beta-Blockers (Metoprolol Succinate, Carvedilol, Bisoprolol)
- Sacubitril/Valsartan, Empagliflozin & Spironolactone (Heart Failure GDMT)
- Apixaban, Rivaroxaban & Clopidogrel (Atrial Fibrillation & Stent Thrombosis Prevention)
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: MI | License: 4301108170 | Primary: Secondary |
207RC0000X — Internal Medicine, Cardiovascular DiseasePlain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist) | State: ND | License: 17378 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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