CMS-1500 Box 24J / 33a • NPI
1154538213
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2086S0122X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Plastic and Reconstructive Surgery
Box 32 Service Location & ZIP+4
120 S SPALDING DR, SUITE 200, BEVERLY HILLS, CA, 90212-1840
✓ 9-Digit EDI 837 ZIP+4 (90212-1840)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1154538213 (ANDRE ABOOLIAN, M.D.) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1154538213 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ANDRE ABOOLIAN, M.D. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Plastic and Reconstructive Surgery NUCC Code: 2086S0122X (Surgery, Plastic and Reconstructive Surgery) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 120 S SPALDING DR, SUITE 200, BEVERLY HILLS, CA, 90212-1840 |
| Practice Telephone / Fax | Tel: (310) 888-8862 | Fax: (310) 888-8711 |
| Administrative Mailing Address | 1146 N CENTRAL AVE # 101, GLENDALE, CA, 91202-2506 |
| Enumeration & Last Sync | Enumerated: 2007-05-17 | CMS Record Updated: 2008-08-22 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2086S0122X)
What Does Taxonomy Code 2086S0122X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0122X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Plastic and Reconstructive Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ANDRE ABOOLIAN, M.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2086S0122X — Surgery, Plastic and Reconstructive SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Plastic and Reconstructive Surgery | State: CA | License: A81347 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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