✓ Board-Certified Anesthesiologist & Interventional Pain Specialist (207L00000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

YUSUF MOHAMED ABOUTABL, MD (NPI #1164358107)

Anesthesiology • CHARLESTON, SC • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1164358107
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207L00000X (CMS 05)
Board-Certified Anesthesiologist & Interventional Pain Specialist
Box 32 Service Location & ZIP+4
169 ASHLEY AVE, CHARLESTON, SC, 29425-8905
✓ 9-Digit EDI 837 ZIP+4 (29425-8905)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1164358107 (YUSUF MOHAMED ABOUTABL, 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1164358107 (NPI-1 Individual Practitioner)
Provider / Legal NameYUSUF MOHAMED ABOUTABL, MD
Plain-English SpecialtyBoard-Certified Anesthesiologist & Interventional Pain Specialist
NUCC Code: 207L00000X (Anesthesiology)
Certifying / Licensing BodyAmerican Board of Anesthesiology (ABA)
Practice Location Address169 ASHLEY AVE, CHARLESTON, SC, 29425-8905
Practice Telephone / FaxTel: (843) 792-2185
Administrative Mailing Address169 ASHLEY AVE, CHARLESTON, SC, 29425-8905
Enumeration & Last SyncEnumerated: 2026-06-18 | CMS Record Updated: 2026-06-18

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

169 ASHLEY AVE, CHARLESTON, SC, 29425-8905

🗺️ Open in Google Maps 🏥 More Providers in CHARLESTON

Plain-English Taxonomy & CMS Crosswalk (207L00000X)

What Does Taxonomy Code 207L00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207L00000X translates to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 05 (Physician/Anesthesiology) • CMS Code 79 (Physician/Addiction Medicine)
Certifying / Accrediting Authority: American Board of Anesthesiology (ABA)
Clinical Scope: Pre-surgical anesthesia evaluation, obstetric labor epidural care, or interventional spine and nerve block procedures for chronic pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (YUSUF MOHAMED ABOUTABL, MD)

Typical CPT / Diagnostic Procedures:
  • General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
  • Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
  • Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks
Common Therapeutic Classes:
  • Propofol, Sevoflurane, Rocuronium & Sugammadex
  • Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207L00000X — Anesthesiology
Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist
State: SC | License: MMD.97314LL | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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