CMS-1500 Box 24J / 33a • NPI
1124292966
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RR0500X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
80 S MAIN ST, MIDDLETOWN, CT, 06457-3648
✓ 9-Digit EDI 837 ZIP+4 (06457-3648)
⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT:
NPI
1124292966 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min) — Effective 2020-06-18). Verify before submitting Medicare/Medicaid claims.
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1124292966 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CRISPIN REYNALDO ABARIENTOS, M.D. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RR0500X (Internal Medicine, Rheumatology) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 80 S MAIN ST, MIDDLETOWN, CT, 06457-3648 |
| Practice Telephone / Fax | Tel: (860) 358-6878 | Fax: (860) 358-6870 |
| Administrative Mailing Address | 80 S MAIN ST, MIDDLETOWN, CT, 06457-3648 |
| Enumeration & Last Sync | Enumerated: 2008-04-14 | CMS Record Updated: 2010-03-04 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RR0500X)
What Does Taxonomy Code 207RR0500X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RR0500X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CRISPIN REYNALDO ABARIENTOS, M.D.)
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 |
|---|---|
207RR0500X — Internal Medicine, RheumatologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: CT | License: 046388 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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