CMS-1500 Box 24J / 33a • NPI
1164064655
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
200 1ST ST SW, ROCHESTER, MN, 55905-0001
✓ 9-Digit EDI 837 ZIP+4 (55905-0001)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1164064655 (IBRAHIM YUSUF ABUBEKER, 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 #1164064655)
Medicare Beneficiaries
113
Total Billed Services
398
Distinct CPT/HCPCS Codes
19
Medicare Allowed Total
$32,767.27
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 41 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 21 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 19 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 20 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 90 |
99238 | Hospital discharge day management, 30 minutes or less | 16 |
G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 141 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amlodipine Besylate Amlodipine Besylate | 14 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 15 | <11 |
| Ezetimibe Ezetimibe | 12 | <11 |
| Farxiga Dapagliflozin Propanediol | 12 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1164064655 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | IBRAHIM YUSUF ABUBEKER, MD |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207R00000X (Internal Medicine) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 200 1ST ST SW, ROCHESTER, MN, 55905-0001 |
| Practice Telephone / Fax | Tel: (507) 284-2511 |
| Administrative Mailing Address | 200 1ST ST SW, ROCHESTER, MN, 55905-0001 |
| Enumeration & Last Sync | Enumerated: 2019-10-16 | CMS Record Updated: 2024-07-09 |
Clinic Location, Accessibility & Directions
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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)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (IBRAHIM YUSUF ABUBEKER, 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
- 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 |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: RI | License: MD18264 | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: MN | License: 76235 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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