CMS-1500 Box 24J / 33a • NPI
1336553676
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RH0003X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
1425 PORTLAND AVE, ROCHESTER, NY, 14621-3001
✓ 9-Digit EDI 837 ZIP+4 (14621-3001)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1336553676 (MOUHAMED YAZAN ABOU-ISMAIL, 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 #1336553676)
Medicare Beneficiaries
91
Total Billed Services
202
Distinct CPT/HCPCS Codes
12
Medicare Allowed Total
$18,733.07
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 13 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 14 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 27 |
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 33 |
99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 25 |
G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 43 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Eliquis Apixaban | 29 | <11 |
| Hydroxyurea Hydroxyurea | 16 | <11 |
| Prednisone Prednisone | 16 | <11 |
| Xarelto Rivaroxaban | 16 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1336553676 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MOUHAMED YAZAN ABOU-ISMAIL, M.D. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RH0003X (Internal Medicine, Hematology & Oncology) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 1425 PORTLAND AVE, ROCHESTER, NY, 14621-3001 |
| Practice Telephone / Fax | Tel: (585) 336-5000 |
| Administrative Mailing Address | 31 PORTLAND PKWY APT 5, ROCHESTER, NY, 14621-2827 |
| Enumeration & Last Sync | Enumerated: 2014-06-14 | CMS Record Updated: 2021-10-15 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RH0003X)
What Does Taxonomy Code 207RH0003X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RH0003X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MOUHAMED YAZAN ABOU-ISMAIL, 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 |
|---|---|
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
207RH0003X — Internal Medicine, Hematology & OncologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: UT | License: 11619970-1205 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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