ADVANCED HAND & RECONSTRUCTIVE PLASTIC SURGERY INC. — NPI 1215407614 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery

CMS-1500 Box 24J / 33a • NPI

1215407614

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2082S0105X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Surgery of the Hand

Box 32 Service Location & ZIP+4

18546 ROSCOE BLVD STE 220, NORTHRIDGE, CA, 91324-5455

✓ 9-Digit EDI 837 ZIP+4 (91324-5455)

Practice Phone & Referral Fax

(661) 326-2800

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215407614 (ADVANCED HAND & RECONSTRUCTIVE PLASTIC SURGERY INC.) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1215407614` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED HAND & RECONSTRUCTIVE PLASTIC SURGERY INC.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Surgery of the Hand NUCC Code: `2082S0105X` (Plastic Surgery, Surgery of the Hand)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	18546 ROSCOE BLVD STE 220, NORTHRIDGE, CA, 91324-5455
Practice Telephone / Fax	Tel: (661) 326-2800
Administrative Mailing Address	9227 RESEDA BLVD # 505, NORTHRIDGE, CA, 91324-3137
Enumeration & Last Sync	Enumerated: 2018-11-28 \| CMS Record Updated: 2018-11-28
Authorized Official	ABDUL-WAHAB SHARARAH (PRESIDENT)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

18546 ROSCOE BLVD STE 220, NORTHRIDGE, CA, 91324-5455

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Plain-English Taxonomy & CMS Crosswalk (2082S0105X)

What Does Taxonomy Code 2082S0105X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2082S0105X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Surgery of the Hand"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 24 (Physician/Plastic and Reconstructive Surgery) • CMS Code 40 (Physician/Hand Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Plastic Surgery, Surgery of the Hand for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED HAND & RECONSTRUCTIVE PLASTIC SURGERY INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2082S0105X` — Plastic Surgery, Surgery of the Hand Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Surgery of the Hand	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED HAND & RECONSTRUCTIVE PLASTIC SURGERY INC. (NPI #1215407614)