CMS-1500 Box 24J / 33a • NPI
1326136243
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
12350 PASEO NUEVO DR, EL PASO, TX, 79928-5668
✓ 9-Digit EDI 837 ZIP+4 (79928-5668)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1326136243 (CAROL N ABALIHI, M.D.) 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 #1326136243)
Medicare Beneficiaries
155
Total Billed Services
5,194
Distinct CPT/HCPCS Codes
86
Medicare Allowed Total
$7,787,564.17
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 31 |
81002 | Urinalysis, manual test | 22 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 91 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 107 |
99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 17 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 34 |
99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 428 |
99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 128 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Acetaminophen-Codeine Acetaminophen With Codeine | 39 | 14 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 26 | 17 |
| Alendronate Sodium Alendronate Sodium | 130 | 29 |
| Allopurinol Allopurinol | 22 | <11 |
| Alprazolam Alprazolam | 54 | 17 |
| Amantadine Amantadine Hcl | 35 | <11 |
| Amiodarone Hcl Amiodarone Hcl | 31 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 435 | 85 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1326136243 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CAROL N ABALIHI, M.D. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207R00000X (Internal Medicine) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 12350 PASEO NUEVO DR, EL PASO, TX, 79928-5668 |
| Practice Telephone / Fax | Tel: (915) 225-4470 | Fax: (915) 533-8055 |
| Administrative Mailing Address | PO BOX 972990, EL PASO, TX, 79997-2990 |
| Enumeration & Last Sync | Enumerated: 2006-10-10 | CMS Record Updated: 2024-03-13 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207R00000X)
What Does Taxonomy Code 207R00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CAROL N ABALIHI, M.D.)
Typical CPT / Diagnostic Procedures:- Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
- Preoperative Medical Risk Assessment & Cardiac Clearance
- Chronic Kidney, Hepatic & Metabolic Panel Interpretation
- Adult Inpatient Hospitalist Management & Discharge Coordination
- Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
- Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
- Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
- Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: NJ | License: MA64547 | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: NM | License: MD2011-0215 | Primary: Secondary |
208000000X — PediatricsPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: NM | License: MD2011-0215 | Primary: Secondary |
208000000X — PediatricsPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: TX | License: N1507 | Primary: Secondary |
208000000X — PediatricsPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: NJ | License: MA64547 | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: TX | License: N1507 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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