CMS-1500 Box 24J / 33a • NPI
1235623331
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RI0200X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
3000 32ND AVE S, FARGO, ND, 58103-6132
✓ 9-Digit EDI 837 ZIP+4 (58103-6132)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1235623331 (SUHA FAISAL OMAR ABU KHALAF, 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 #1235623331)
Medicare Beneficiaries
166
Total Billed Services
788
Distinct CPT/HCPCS Codes
21
Medicare Allowed Total
$79,599.75
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 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 | 12 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 69 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 21 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 15 |
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 126 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 179 |
99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 227 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin Amoxicillin | 15 | <11 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 14 | 12 |
| Atorvastatin Calcium Atorvastatin Calcium | 13 | <11 |
| Atovaquone Atovaquone | 13 | <11 |
| Atovaquone-Proguanil Hcl Atovaquone/Proguanil Hcl | 15 | 15 |
| Azithromycin Azithromycin | 24 | 19 |
| Biktarvy Bictegrav/Emtricit/Tenofov Ala | 37 | <11 |
| Cefadroxil Cefadroxil | 47 | 15 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1235623331 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SUHA FAISAL OMAR ABU KHALAF, MD |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RI0200X (Internal Medicine, Infectious Disease) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 3000 32ND AVE S, FARGO, ND, 58103-6132 |
| Practice Telephone / Fax | Tel: (701) 364-8900 |
| Administrative Mailing Address | 3000 32ND AVE S, FARGO, ND, 58103-6132 |
| Enumeration & Last Sync | Enumerated: 2018-06-21 | CMS Record Updated: 2023-06-26 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RI0200X)
What Does Taxonomy Code 207RI0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RI0200X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SUHA FAISAL OMAR ABU KHALAF, 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: MO | License: 2018016234 | Primary: Secondary |
207RI0200X — Internal Medicine, Infectious DiseasePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: MO | License: 2021017474 | Primary: Secondary |
207RI0200X — Internal Medicine, Infectious DiseasePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: ND | License: 19017 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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