CMS-1500 Box 24J / 33a • NPI
1306366760
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RG0100X (CMS 10)
Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)
Box 32 Service Location & ZIP+4
1205 S GRANGE AVE, SIOUX FALLS, SD, 57105-0407
✓ 9-Digit EDI 837 ZIP+4 (57105-0407)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1306366760 (BACKER MAHMOUD ABDU, 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 #1306366760)
Medicare Beneficiaries
262
Total Billed Services
503
Distinct CPT/HCPCS Codes
23
Medicare Allowed Total
$54,685.28
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 18 |
43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 80 |
43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 12 |
45378 | Diagnostic exam of large bowel using a flexible endoscope | 20 |
45380 | Biopsy of large bowel using a flexible endoscope | 52 |
45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 52 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 33 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 13 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Azathioprine Azathioprine | 18 | <11 |
| Budesonide Ec Budesonide | 13 | <11 |
| Esomeprazole Magnesium Esomeprazole Magnesium | 30 | 11 |
| Famotidine Famotidine | 21 | <11 |
| Gavilyte-N Sodium Chloride/Nahco3/Kcl/Peg | 27 | 27 |
| Hyoscyamine Sulfate Hyoscyamine Sulfate | 13 | <11 |
| Linzess Linaclotide | 42 | <11 |
| Metoclopramide Hcl Metoclopramide Hcl | 11 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1306366760 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BACKER MAHMOUD ABDU, MD |
| Plain-English Specialty | Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) NUCC Code: 207RG0100X (Internal Medicine, Gastroenterology) |
| Certifying / Licensing Body | American Board of Internal Medicine — Gastroenterology |
| Practice Location Address | 1205 S GRANGE AVE, SIOUX FALLS, SD, 57105-0407 |
| Practice Telephone / Fax | Tel: (605) 328-8500 |
| Administrative Mailing Address | PO BOX 5074, SIOUX FALLS, SD, 57117-5074 |
| Enumeration & Last Sync | Enumerated: 2017-06-26 | CMS Record Updated: 2023-07-26 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RG0100X)
What Does Taxonomy Code 207RG0100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RG0100X translates to:
"Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BACKER MAHMOUD ABDU, MD)
Typical CPT / Diagnostic Procedures:- Screening & Diagnostic Colonoscopy with Polypectomy (CPT 45378–45385)
- Esophagogastroduodenoscopy / Upper GI Endoscopy (EGD — CPT 43239)
- Hepatic Elastography (FibroScan) & Fractionated Bilirubin/LFT Workup
- Internal Hemorrhoid Banding & Anorectal Diagnostic Evaluation
- Proton Pump Inhibitors (Omeprazole, Pantoprazole, Esomeprazole)
- H. pylori Quadruple & Triple Eradication Regimens
- Mesalamine & Biologic Immunomodulators (Inflammatory Bowel Disease)
- Osmotic Laxatives, Rifaximin & Ursodeoxycholic Acid
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: MI | License: 4301111921 | Primary: Secondary |
207RG0100X — Internal Medicine, GastroenterologyPlain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) | State: SD | License: 13980 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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