CMS-1500 Box 24J / 33a • NPI
1265847636
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
9000 FRANKLIN SQUARE DR, BALTIMORE, MD, 21237-3901
✓ 9-Digit EDI 837 ZIP+4 (21237-3901)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1265847636 (DARIA M ABOLGHASEMI, D.O.) 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 #1265847636)
Medicare Beneficiaries
167
Total Billed Services
214
Distinct CPT/HCPCS Codes
15
Medicare Allowed Total
$35,763.98
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 29 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 138 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1265847636 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DARIA M ABOLGHASEMI, D.O. |
| 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 | 9000 FRANKLIN SQUARE DR, BALTIMORE, MD, 21237-3901 |
| Practice Telephone / Fax | Tel: (443) 777-7000 |
| Administrative Mailing Address | 1125 ROUTE 22 STE 270, BRIDGEWATER, NJ, 08807-2939 |
| Enumeration & Last Sync | Enumerated: 2014-06-24 | CMS Record Updated: 2024-11-27 |
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 (DARIA M ABOLGHASEMI, D.O.)
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 |
|---|---|
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: GA | License: 82656 | 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 |
2086X0206X — Surgery, Surgical OncologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Oncology | State: MD | License: H0091923 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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