CMS-1500 Box 24J / 33a • NPI
1164983748
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RH0000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
1710 N 159TH AVE, GOODYEAR, AZ, 85395-7687
✓ 9-Digit EDI 837 ZIP+4 (85395-7687)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1164983748 (ABDULRAHMAN HASSAN ABONOFAL, 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 #1164983748)
Medicare Beneficiaries
20
Total Billed Services
20
Distinct CPT/HCPCS Codes
3
Medicare Allowed Total
$3,086.25
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 | 11 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Acyclovir Acyclovir | 15 | <11 |
| Eliquis Apixaban | 17 | <11 |
| Hydroxyurea Hydroxyurea | 11 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1164983748 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ABDULRAHMAN HASSAN ABONOFAL, MD |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RH0000X (Internal Medicine, Hematology) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 1710 N 159TH AVE, GOODYEAR, AZ, 85395-7687 |
| Practice Telephone / Fax | Tel: (623) 312-3020 |
| Administrative Mailing Address | PO BOX 60691, CITY OF INDUSTRY, CA, 91716-0691 |
| Enumeration & Last Sync | Enumerated: 2019-03-27 | CMS Record Updated: 2025-07-16 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RH0000X)
What Does Taxonomy Code 207RH0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RH0000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ABDULRAHMAN HASSAN ABONOFAL, 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: WV | License: 31499 | Primary: Secondary |
207RH0000X — Internal Medicine, HematologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: AZ | License: 76282 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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