CMS-1500 Box 24J / 33a • NPI
1104231992
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2084P0800X (CMS 26)
Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)
Box 32 Service Location & ZIP+4
3300 OAKDALE AVE N # 2E, ROBBINSDALE, MN, 55422-2926
✓ 9-Digit EDI 837 ZIP+4 (55422-2926)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104231992 (MUSTAFA ABDULHUSEIN, 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 #1104231992)
Medicare Beneficiaries
58
Total Billed Services
100
Distinct CPT/HCPCS Codes
9
Medicare Allowed Total
$9,675.59
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 44 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 41 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Quetiapine Fumarate Quetiapine Fumarate | 26 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104231992 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MUSTAFA ABDULHUSEIN, MD |
| Plain-English Specialty | Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) NUCC Code: 2084P0800X (Psychiatry & Neurology, Psychiatry) |
| Certifying / Licensing Body | American Board of Psychiatry and Neurology (ABPN) |
| Practice Location Address | 3300 OAKDALE AVE N # 2E, ROBBINSDALE, MN, 55422-2926 |
| Practice Telephone / Fax | Tel: (763) 581-8240 | Fax: (763) 581-8241 |
| Administrative Mailing Address | 100 4TH ST S, FARGO, ND, 58103-1929 |
| Enumeration & Last Sync | Enumerated: 2014-06-30 | CMS Record Updated: 2023-05-10 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2084P0800X)
What Does Taxonomy Code 2084P0800X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084P0800X translates to:
"Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MUSTAFA ABDULHUSEIN, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Psychiatric Diagnostic Evaluation (CPT 90792)
- Psychopharmacological Management & Supportive Psychotherapy
- Medication-Assisted Treatment (MAT) for Substance Use Disorders
- SSRIs & SNRIs (Sertraline, Escitalopram, Fluoxetine, Duloxetine)
- Bupropion, Mirtazapine & Atypical Antipsychotics (Aripiprazole, Quetiapine)
- Buprenorphine/Naloxone & Naltrexone (Addiction Recovery)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2084P0800X — Psychiatry & Neurology, PsychiatryPlain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) | State: ND | License: RL13223 | Primary: Secondary |
2084P0800X — Psychiatry & Neurology, PsychiatryPlain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) | State: MN | License: 64997 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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