CMS-1500 Box 24J / 33a • NPI
1154310035
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RI0200X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
6400 GOLDSBORO RD, SUITE#330, BETHESDA, MD, 20817-5826
✓ 9-Digit EDI 837 ZIP+4 (20817-5826)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1154310035 (MARK ROBERT ABBRUZZESE) 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 #1154310035)
Medicare Beneficiaries
237
Total Billed Services
1,660
Distinct CPT/HCPCS Codes
15
Medicare Allowed Total
$237,343.39
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 171 |
99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,354 |
99291 | Critical care, first 30-74 minutes | 86 |
G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 27 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Atorvastatin Calcium Atorvastatin Calcium | 18 | <11 |
| Biktarvy Bictegrav/Emtricit/Tenofov Ala | 11 | <11 |
| Cefadroxil Cefadroxil | 13 | <11 |
| Ceftriaxone Ceftriaxone Sodium | 29 | <11 |
| Doxycycline Hyclate Doxycycline Hyclate | 13 | <11 |
| Lorazepam Lorazepam | 17 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1154310035 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARK ROBERT ABBRUZZESE |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RI0200X (Internal Medicine, Infectious Disease) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 6400 GOLDSBORO RD, SUITE#330, BETHESDA, MD, 20817-5826 |
| Practice Telephone / Fax | Tel: (301) 320-3361 | Fax: (301) 320-0170 |
| Administrative Mailing Address | 11608 CAPLINGER RD, SILVER SPRING, MD, 20904-2768 |
| Enumeration & Last Sync | Enumerated: 2005-10-13 | CMS Record Updated: 2012-06-27 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RI0200X)
What Does Taxonomy Code 207RI0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RI0200X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARK ROBERT ABBRUZZESE)
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 |
|---|---|
207RI0200X — Internal Medicine, Infectious DiseasePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: DC | License: MD15748 | Primary: Yes (Primary) |
207RI0200X — Internal Medicine, Infectious DiseasePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: MD | License: D0048226 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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