ANTHONY PAUL ALBANESE, M.D. — NPI 1215910187 (Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) in MATHER, CA)

CMS-1500 Box 24J / 33a • NPI

1215910187

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207RA0401X (CMS 11)

Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)

Box 32 Service Location & ZIP+4

10535 HOSPITAL WAY, SACRAMENTO VA MEDICAL CENTER, GI DIVISION, SMAT/111, MATHER, CA, 95655-4200

✓ 9-Digit EDI 837 ZIP+4 (95655-4200)

Practice Phone & Referral Fax

(916) 366-5451

Fax: (916) 366-5376

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215910187 (ANTHONY PAUL ALBANESE, 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

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	`1215910187` (NPI-1 Individual Practitioner)
Provider / Legal Name	ANTHONY PAUL ALBANESE, M.D.
Plain-English Specialty	Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: `207RA0401X` (Internal Medicine, Addiction Medicine)
Certifying / Licensing Body	American Board of Internal Medicine (ABIM)
Practice Location Address	10535 HOSPITAL WAY, SACRAMENTO VA MEDICAL CENTER, GI DIVISION, SMAT/111, MATHER, CA, 95655-4200
Practice Telephone / Fax	Tel: (916) 366-5451 \| Fax: (916) 366-5376
Administrative Mailing Address	10535 HOSPITAL WAY, MATHER, CA, 95655-4200
Enumeration & Last Sync	Enumerated: 2005-11-23 \| CMS Record Updated: 2026-07-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

10535 HOSPITAL WAY, SACRAMENTO VA MEDICAL CENTER, GI DIVISION, SMAT/111, MATHER, CA, 95655-4200

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Plain-English Taxonomy & CMS Crosswalk (207RA0401X)

What Does Taxonomy Code 207RA0401X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RA0401X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 79 (Physician/Addiction Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANTHONY PAUL ALBANESE, 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

Common Therapeutic Classes:

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
`207RA0401X` — Internal Medicine, Addiction Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: NY \| License: `171345` \| Primary: Yes (Primary)
`207RG0100X` — Internal Medicine, Gastroenterology Plain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)	State: CA \| License: `G71057` \| Primary: Secondary
`207RI0008X` — Internal Medicine, Hepatology Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: FL \| License: `ME0059121` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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ANTHONY PAUL ALBANESE, M.D. (NPI #1215910187)