CMS-1500 Box 24J / 33a • NPI
1275013609
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207X00000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
111 MALTESE DR, MIDDLETOWN, NY, 10940-2141
✓ 9-Digit EDI 837 ZIP+4 (10940-2141)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1275013609 (IMAD ISMAIL ABUSHAHIN, 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 #1275013609)
Medicare Beneficiaries
437
Total Billed Services
12,943
Distinct CPT/HCPCS Codes
110
Medicare Allowed Total
$203,424.51
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
20526 | Injection of carpal tunnel | 26 |
20550 | Injection into tendon or ligament | 53 |
20600 | Aspiration and/or injection of fluid from small joint | 37 |
20605 | Aspiration and/or injection of fluid from medium joint | 15 |
20610 | Aspiration and/or injection of fluid from large joint | 207 |
36415 | Insertion of needle into vein for collection of blood sample | 14 |
64721 | Release and/or relocation of hand nerve | 13 |
73030 | X-ray of shoulder, minimum of 2 views | 44 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Celecoxib Celecoxib | 39 | 18 |
| Diclofenac Sodium Diclofenac Sodium | 65 | 35 |
| Gabapentin Gabapentin | 18 | <11 |
| Ibuprofen Ibuprofen | 18 | <11 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 24 | 19 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1275013609 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | IMAD ISMAIL ABUSHAHIN, MD |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 207X00000X (Orthopaedic Surgery) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 111 MALTESE DR, MIDDLETOWN, NY, 10940-2141 |
| Practice Telephone / Fax | Tel: (845) 342-4774 |
| Administrative Mailing Address | 111 MALTESE DR, MIDDLETOWN, NY, 10940-2141 |
| Enumeration & Last Sync | Enumerated: 2018-08-15 | CMS Record Updated: 2022-09-27 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207X00000X)
What Does Taxonomy Code 207X00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207X00000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (IMAD ISMAIL ABUSHAHIN, MD)
Typical CPT / Diagnostic Procedures:- Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
- Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
- Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
- Fracture Reduction, Internal Fixation & Carpal Tunnel Release
- NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
- Intra-Articular Triamcinolone Acetonide & Methylprednisolone
- Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2086S0105X — Surgery, Surgery of the HandPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgery of the Hand | State: KY | License: FT581 | Primary: Secondary |
207X00000X — Orthopaedic SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: NY | License: 315483 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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