✓ Board-Certified Anesthesiologist & Interventional Pain Specialist (207L00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

MAHMOUD KHALED ABDELGHAFFAR, MD (NPI #1306408570)

Anesthesiology • CHEVERLY, MD • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1306408570
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207L00000X (CMS 05)
Board-Certified Anesthesiologist & Interventional Pain Specialist
Box 32 Service Location & ZIP+4
3001 HOSPITAL DR, CHEVERLY, MD, 20785-1189
✓ 9-Digit EDI 837 ZIP+4 (20785-1189)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1306408570 (MAHMOUD KHALED ABDELGHAFFAR, 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 #1306408570)

Medicare Beneficiaries
135
Total Billed Services
150
Distinct CPT/HCPCS Codes
62
Medicare Allowed Total
$28,404.39

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope13

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1306408570 (NPI-1 Individual Practitioner)
Provider / Legal NameMAHMOUD KHALED ABDELGHAFFAR, MD
Plain-English SpecialtyBoard-Certified Anesthesiologist & Interventional Pain Specialist
NUCC Code: 207L00000X (Anesthesiology)
Certifying / Licensing BodyAmerican Board of Anesthesiology (ABA)
Practice Location Address3001 HOSPITAL DR, CHEVERLY, MD, 20785-1189
Practice Telephone / FaxTel: (301) 618-2273
Administrative Mailing Address99 E RIVER DR FL 5, EAST HARTFORD, CT, 06108-7301
Enumeration & Last SyncEnumerated: 2019-07-08 | CMS Record Updated: 2023-10-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3001 HOSPITAL DR, CHEVERLY, MD, 20785-1189

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Plain-English Taxonomy & CMS Crosswalk (207L00000X)

What Does Taxonomy Code 207L00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207L00000X translates to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 05 (Physician/Anesthesiology) • CMS Code 79 (Physician/Addiction Medicine)
Certifying / Accrediting Authority: American Board of Anesthesiology (ABA)
Clinical Scope: Pre-surgical anesthesia evaluation, obstetric labor epidural care, or interventional spine and nerve block procedures for chronic pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MAHMOUD KHALED ABDELGHAFFAR, MD)

Typical CPT / Diagnostic Procedures:
  • General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
  • Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
  • Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks
Common Therapeutic Classes:
  • Propofol, Sevoflurane, Rocuronium & Sugammadex
  • Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
390200000X — Student in an Organized Health Care Education/Training Program
Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program
State: N/A | License: Verified | Primary: Secondary
207L00000X — Anesthesiology
Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist
State: CT | License: 72438 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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