CMS-1500 Box 24J / 33a • NPI
1235611005
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Y00000X (CMS 04)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology
Box 32 Service Location & ZIP+4
3445 HIGH POINT BLVD STE 400, BETHLEHEM, PA, 18017-7817
✓ 9-Digit EDI 837 ZIP+4 (18017-7817)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1235611005 (AHMAD ISSAM MAHMOUD ABUALSOUD, MBBCH) 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 #1235611005)
Medicare Beneficiaries
653
Total Billed Services
1,781
Distinct CPT/HCPCS Codes
47
Medicare Allowed Total
$212,348.94
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
31231 | Diagnostic exam of nasal passages using an endoscope | 208 |
31238 | Control of bleeding of nose using an endoscope | 56 |
31575 | Diagnostic exam of voice box using a flexible endoscope | 118 |
69210 | Removal of impacted ear wax | 175 |
69420 | Incision, aspiration, and/or inflation of eardrum | 12 |
69433 | Incision of eardrum with insertion of eardrum tube under local or topical anesthesia | 35 |
69801 | Incision of fluid canal of inner ear with infusion of drugs | 43 |
92504 | Exam of ear using a microscope | 30 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 22 | 21 |
| Azelastine Hcl Azelastine Hcl | 86 | 45 |
| Famotidine Famotidine | 21 | <11 |
| Fluocinolone Acetonide Oil Fluocinolone Acetonide Oil | 11 | 11 |
| Fluticasone Propionate Fluticasone Propionate | 88 | 38 |
| Ipratropium Bromide Ipratropium Bromide | 89 | 40 |
| Ofloxacin Ofloxacin | 16 | 13 |
| Pantoprazole Sodium Pantoprazole Sodium | 47 | 20 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1235611005 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AHMAD ISSAM MAHMOUD ABUALSOUD, MBBCH |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology NUCC Code: 207Y00000X (Otolaryngology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3445 HIGH POINT BLVD STE 400, BETHLEHEM, PA, 18017-7817 |
| Practice Telephone / Fax | Tel: (610) 866-5555 | Fax: (610) 866-3151 |
| Administrative Mailing Address | 3445 HIGH POINT BLVD STE 400, BETHLEHEM, PA, 18017-7817 |
| Enumeration & Last Sync | Enumerated: 2018-08-29 | CMS Record Updated: 2022-12-01 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207Y00000X)
What Does Taxonomy Code 207Y00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Y00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AHMAD ISSAM MAHMOUD ABUALSOUD, MBBCH)
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 |
|---|---|
207Y00000X — OtolaryngologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology | State: PA | License: MD | Primary: Secondary |
207YP0228X — Otolaryngology, Pediatric OtolaryngologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Pediatric Otolaryngology | State: PA | License: MD473596 | 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 |
207Y00000X — OtolaryngologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology | State: PA | License: MD473596 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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