CMS-1500 Box 24J / 33a • NPI
1235225889
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2086X0206X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Oncology
Box 32 Service Location & ZIP+4
980 JOHNSON FERRY RD, SUITE 170, ATLANTA, GA, 30342-1626
✓ 9-Digit EDI 837 ZIP+4 (30342-1626)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1235225889 (EDDIE K. ABDALLA, 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
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 #1235225889)
Medicare Beneficiaries
97
Total Billed Services
198
Distinct CPT/HCPCS Codes
41
Medicare Allowed Total
$102,871.65
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
76998 | Ultrasonic guidance during surgery | 22 |
99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 25 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 69 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Creon Lipase/Protease/Amylase | 69 | 29 |
| Pantoprazole Sodium Pantoprazole Sodium | 43 | 25 |
| Tramadol Hcl Tramadol Hcl | 27 | 24 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1235225889 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | EDDIE K. ABDALLA, M.D. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Oncology NUCC Code: 2086X0206X (Surgery, Surgical Oncology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 980 JOHNSON FERRY RD, SUITE 170, ATLANTA, GA, 30342-1626 |
| Practice Telephone / Fax | Tel: (404) 300-2140 | Fax: (404) 300-2240 |
| Administrative Mailing Address | 980 JOHNSON FERRY RD, ATLANTA, GA, 30342-1626 |
| Enumeration & Last Sync | Enumerated: 2006-10-04 | CMS Record Updated: 2025-07-24 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2086X0206X)
What Does Taxonomy Code 2086X0206X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086X0206X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Oncology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (EDDIE K. ABDALLA, M.D.)
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
- 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 |
|---|---|
2086X0206X — Surgery, Surgical OncologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Oncology | State: TX | License: K7959 | Primary: Yes (Primary) |
2086X0206X — Surgery, Surgical OncologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Oncology | State: GA | License: 076624 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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