CMS-1500 Box 24J / 33a • NPI
1265630040
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
593 EDDY ST STE 224, PROVIDENCE, RI, 02903-4923
✓ 9-Digit EDI 837 ZIP+4 (02903-4923)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1265630040 (ADEEL ABBASI, 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 #1265630040)
Medicare Beneficiaries
69
Total Billed Services
115
Distinct CPT/HCPCS Codes
5
Medicare Allowed Total
$22,746.83
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99291 | Critical care, first 30-74 minutes | 103 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1265630040 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ADEEL ABBASI, 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 | 593 EDDY ST STE 224, PROVIDENCE, RI, 02903-4923 |
| Practice Telephone / Fax | Tel: (401) 444-3656 | Fax: (401) 444-5493 |
| Administrative Mailing Address | 110 ELM ST, PROVIDENCE, RI, 02903-4626 |
| Enumeration & Last Sync | Enumerated: 2007-07-03 | CMS Record Updated: 2026-06-22 |
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 (ADEEL ABBASI, 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 |
|---|---|
207RC0200X — Internal Medicine, Critical Care MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: MA | License: 291478 | Primary: Secondary |
207RC0200X — Internal Medicine, Critical Care MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: RI | License: MD15897 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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