CMS-1500 Box 24J / 33a • NPI
1285953430
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Y00000X (CMS 04)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology
Box 32 Service Location & ZIP+4
2301 ERWIN RD, DURHAM, NC, 27705-4699
✓ 9-Digit EDI 837 ZIP+4 (27705-4699)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1285953430 (RALPH ABI HACHEM, 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 #1285953430)
Medicare Beneficiaries
169
Total Billed Services
738
Distinct CPT/HCPCS Codes
46
Medicare Allowed Total
$135,368.62
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
30140 | Removal of nasal air passage under lining tissue | 21 |
30520 | Reshaping of nasal cartilage | 13 |
31231 | Diagnostic exam of nasal passages using an endoscope | 115 |
31231 | Diagnostic exam of nasal passages using an endoscope | 63 |
31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 66 |
31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 26 |
31267 | Removal of nasal sinus tissue using an endoscope | 17 |
31276 | Exploration of nasal sinus using an endoscope | 12 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 13 | <11 |
| Azelastine Hcl Azelastine Hcl | 12 | <11 |
| Fluticasone Propionate Fluticasone Propionate | 24 | 13 |
| Ipratropium Bromide Ipratropium Bromide | 62 | 17 |
| Levofloxacin Levofloxacin | 12 | <11 |
| Methylprednisolone Methylprednisolone | 17 | 15 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1285953430 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | RALPH ABI HACHEM, md |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology NUCC Code: 207Y00000X (Otolaryngology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2301 ERWIN RD, DURHAM, NC, 27705-4699 |
| Practice Telephone / Fax | Tel: (919) 684-8111 |
| Administrative Mailing Address | PO BOX 63362, CHARLOTTE, NC, 28263-3362 |
| Enumeration & Last Sync | Enumerated: 2010-05-27 | CMS Record Updated: 2016-11-09 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207Y00000X)
What Does Taxonomy Code 207Y00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Y00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (RALPH ABI HACHEM, md)
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 |
|---|---|
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: FL | License: Verified | Primary: Secondary |
207Y00000X — OtolaryngologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology | State: NC | License: 2016-01862 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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