CMS-1500 Box 24J / 33a • NPI
1215347000
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
2421 MONROE ST STE 102, DEARBORN, MI, 48124-3043
✓ 9-Digit EDI 837 ZIP+4 (48124-3043)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1215347000 (GHATTAS ALKHOURY, 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 #1215347000)
Medicare Beneficiaries
166
Total Billed Services
716
Distinct CPT/HCPCS Codes
48
Medicare Allowed Total
$37,159.13
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 17 |
71046 | X-ray of chest, 2 views | 21 |
87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 34 |
87804 | Detection test by immunoassay with direct visual observation for influenza virus | 26 |
87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 32 |
96372 | Injection of drug or substance under skin or into muscle | 39 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 12 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 51 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amlodipine Besylate Amlodipine Besylate | 17 | <11 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 12 | 11 |
| Atorvastatin Calcium Atorvastatin Calcium | 19 | <11 |
| Azithromycin Azithromycin | 34 | 31 |
| Cefdinir Cefdinir | 11 | <11 |
| Furosemide Furosemide | 12 | <11 |
| Ibuprofen Ibuprofen | 11 | <11 |
| Lisinopril Lisinopril | 21 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1215347000 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | GHATTAS ALKHOURY, 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 | 2421 MONROE ST STE 102, DEARBORN, MI, 48124-3043 |
| Practice Telephone / Fax | Tel: (313) 447-0888 | Fax: (313) 458-4004 |
| Administrative Mailing Address | 333 N SUMMIT ST FL 7, TOLEDO, OH, 43604-1531 |
| Enumeration & Last Sync | Enumerated: 2014-05-01 | CMS Record Updated: 2023-11-03 |
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 (GHATTAS ALKHOURY, 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: MI | License: 4301111092 | Primary: Secondary |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: OH | License: 35.129208 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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