CMS-1500 Box 24J / 33a • NPI
1205083276
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RR0500X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
8960 COLONIAL CENTER DR, SUITE 302, FORT MYERS, FL, 33905
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1205083276 (MATXALEN AMEZAGA URRUELA, 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1205083276 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MATXALEN AMEZAGA URRUELA, M.D. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RR0500X (Internal Medicine, Rheumatology) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 8960 COLONIAL CENTER DR, SUITE 302, FORT MYERS, FL, 33905 |
| Practice Telephone / Fax | Tel: (239) 343-9633 | Fax: (239) 343-9635 |
| Administrative Mailing Address | 11511 SHADOW CREEK PKWY, PEARLAND, TX, 77584-7298 |
| Enumeration & Last Sync | Enumerated: 2008-08-21 | CMS Record Updated: 2023-06-14 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RR0500X)
What Does Taxonomy Code 207RR0500X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RR0500X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MATXALEN AMEZAGA URRUELA, M.D.)
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: TX | License: P4628 | Primary: Secondary |
207RR0500X — Internal Medicine, RheumatologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: TX | License: P4628 | Primary: Secondary |
207RR0500X — Internal Medicine, RheumatologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: FL | License: ME124793 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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