MARY JENNIFER ABUZZAHAB, MD — NPI 1174515274 (Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) in SAINT PAUL, MN)

CMS-1500 Box 24J / 33a • NPI

1174515274

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2080P0205X (CMS 37)

Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)

Box 32 Service Location & ZIP+4

345 SMITH AVE N, SAINT PAUL, MN, 55102-2346

✓ 9-Digit EDI 837 ZIP+4 (55102-2346)

Practice Phone & Referral Fax

(651) 220-6624

Fax: (651) 220-6064

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1174515274 (MARY JENNIFER ABUZZAHAB, 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 Number	`1174515274` (NPI-1 Individual Practitioner)
Provider / Legal Name	MARY JENNIFER ABUZZAHAB, MD
Plain-English Specialty	Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: `2080P0205X` (Pediatrics, Pediatric Endocrinology)
Certifying / Licensing Body	American Board of Pediatrics (ABP)
Practice Location Address	345 SMITH AVE N, SAINT PAUL, MN, 55102-2346
Practice Telephone / Fax	Tel: (651) 220-6624 \| Fax: (651) 220-6064
Administrative Mailing Address	5901 LINCOLN DRIVE, EDINA, MN, 55436-1611
Enumeration & Last Sync	Enumerated: 2005-08-16 \| CMS Record Updated: 2018-05-07

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

345 SMITH AVE N, SAINT PAUL, MN, 55102-2346

🗺️ Open in Google Maps 🏥 More Providers in SAINT PAUL

🔒 Are you MARY JENNIFER ABUZZAHAB, MD? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (2080P0205X)

What Does Taxonomy Code 2080P0205X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2080P0205X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 37 (Physician/Pediatric Medicine)
Certifying / Accrediting Authority: American Board of Pediatrics (ABP)
Clinical Scope: Newborn jaundice screening, routine childhood vaccinations, developmental milestones, pediatric fevers, ear infections, asthma, or acute gastroenteritis.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MARY JENNIFER ABUZZAHAB, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
Pediatric Asthma Nebulization & Spirometry Evaluation

Common Therapeutic Classes:

Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2080P0205X` — Pediatrics, Pediatric Endocrinology Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: MN \| License: `42796` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

MARY JENNIFER ABUZZAHAB, MD (NPI #1174515274)