CMS-1500 Box 24J / 33a • NPI
1265450233
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RC0200X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
5225 23RD AVE S, FARGO, ND, 58104-7927
✓ 9-Digit EDI 837 ZIP+4 (58104-7927)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1265450233 (NABIL ABOUCHALA, 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 #1265450233)
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 18 |
36620 | Insertion of artery tube for blood sampling or infusion through skin | 18 |
94618 | Test for exercise-induced lung stress | 15 |
95012 | Test to measure the level of nitric oxide gas | 57 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 15 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 12 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 122 |
99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 32 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Advair Hfa Fluticasone Propion/Salmeterol | 19 | <11 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 162 | 69 |
| Amitriptyline Hcl Amitriptyline Hcl | 14 | <11 |
| Azelastine Hcl Azelastine Hcl | 46 | 19 |
| Azithromycin Azithromycin | 61 | 15 |
| Breo Ellipta Fluticasone/Vilanterol | 49 | 25 |
| Breyna Budesonide/Formoterol Fumarate | 38 | 17 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 53 | 16 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1265450233 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NABIL ABOUCHALA, MD |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RC0200X (Internal Medicine, Critical Care Medicine) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 5225 23RD AVE S, FARGO, ND, 58104-7927 |
| Practice Telephone / Fax | Tel: (701) 234-2000 | Fax: (012) 342-0007 |
| Administrative Mailing Address | PO BOX 5074, SIOUX FALLS, SD, 57117-5074 |
| Enumeration & Last Sync | Enumerated: 2006-07-18 | CMS Record Updated: 2025-08-20 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RC0200X)
What Does Taxonomy Code 207RC0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RC0200X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NABIL ABOUCHALA, 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 |
|---|---|
207RP1001X — Internal Medicine, Pulmonary DiseasePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: AL | License: 42595 | Primary: Secondary |
207RP1001X — Internal Medicine, Pulmonary DiseasePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: TN | License: 16286 | Primary: Secondary |
207RC0200X — Internal Medicine, Critical Care MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: ND | License: 10269 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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