✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207R00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

BENJAMIN JOHN ABINALES, MD (NPI #1144458977)

Internal Medicine • ST PETERSBURG, FL • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1144458977
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
7500 4TH ST N, ST PETERSBURG, FL, 33702-5400
✓ 9-Digit EDI 837 ZIP+4 (33702-5400)
Practice Phone & Referral Fax
Fax: (727) 525-1835
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1144458977 (BENJAMIN JOHN ABINALES, 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 #1144458977)

Medicare Beneficiaries
565
Total Billed Services
4,148
Distinct CPT/HCPCS Codes
39
Medicare Allowed Total
$339,452.16

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
20610 Aspiration and/or injection of fluid from large joint14
81002 Urinalysis, manual test41
87804 Detection test by immunoassay with direct visual observation for influenza virus21
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)17
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)15
90662 Influenza vaccine split virus, preservative free11
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report19
96372 Injection of drug or substance under skin or into muscle52

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Acetaminophen-Codeine
Acetaminophen With Codeine
2411
Albuterol Sulfate Hfa
Albuterol Sulfate
13464
Alendronate Sodium
Alendronate Sodium
9426
Allopurinol
Allopurinol
10326
Alprazolam
Alprazolam
33977
Amantadine
Amantadine Hcl
13<11
Amiodarone Hcl
Amiodarone Hcl
8918
Amitriptyline Hcl
Amitriptyline Hcl
24<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1144458977 (NPI-1 Individual Practitioner)
Provider / Legal NameBENJAMIN JOHN ABINALES, MD
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207R00000X (Internal Medicine)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address7500 4TH ST N, ST PETERSBURG, FL, 33702-5400
Practice Telephone / FaxTel: (727) 526-4122 | Fax: (727) 525-1835
Administrative Mailing Address7500 4TH ST N, ST PETERSBURG, FL, 33702-5400
Enumeration & Last SyncEnumerated: 2009-07-01 | CMS Record Updated: 2026-09-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

7500 4TH ST N, ST PETERSBURG, FL, 33702-5400

🗺️ Open in Google Maps 🏥 More Providers in ST PETERSBURG

Plain-English Taxonomy & CMS Crosswalk (207R00000X)

What Does Taxonomy Code 207R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine)
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 (BENJAMIN JOHN ABINALES, 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 DescriptionState License & Primary Status
390200000X — Student in an Organized Health Care Education/Training Program
Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program
State: IL | License: 125052231 | Primary: Secondary
207R00000X — Internal Medicine
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: FL | License: ME 106734 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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