CMS-1500 Box 24J / 33a • NPI
1376593871
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RC0000X (CMS 06)
Board-Certified Cardiologist (Heart & Blood Vessel Specialist)
Box 32 Service Location & ZIP+4
310 SANTA FE DR, ENCINITAS, CA, 92024-5110
✓ 9-Digit EDI 837 ZIP+4 (92024-5110)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1376593871 (RIAZ M. AHMED, 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 #1376593871)
Medicare Beneficiaries
3,058
Total Billed Services
8,925
Distinct CPT/HCPCS Codes
48
Medicare Allowed Total
$597,609.86
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
92960 | External shock to heart to regulate heart beat | 12 |
93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 90 |
93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 207 |
93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 474 |
93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 95 |
93225 | Electrocardiogram (ecg) 2-day continuous | 34 |
93227 | Electrocardiogram (ecg) 2-day continuous with review by health care professional | 31 |
93228 | Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional | 61 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amiodarone Hcl Amiodarone Hcl | 17 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 274 | 106 |
| Amoxicillin Amoxicillin | 24 | 13 |
| Atenolol Atenolol | 21 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 411 | 159 |
| Benazepril Hcl Benazepril Hcl | 15 | <11 |
| Brilinta Ticagrelor | 30 | <11 |
| Bumetanide Bumetanide | 53 | 22 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1376593871 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | RIAZ M. AHMED, M.D. |
| Plain-English Specialty | Board-Certified Cardiologist (Heart & Blood Vessel Specialist) NUCC Code: 207RC0000X (Internal Medicine, Cardiovascular Disease) |
| Certifying / Licensing Body | American Board of Internal Medicine — Cardiovascular Disease |
| Practice Location Address | 310 SANTA FE DR, ENCINITAS, CA, 92024-5110 |
| Practice Telephone / Fax | Tel: (760) 633-7275 |
| Administrative Mailing Address | 10790 RANCHO BERNARDO RD, SAN DIEGO, CA, 92127-5705 |
| Enumeration & Last Sync | Enumerated: 2006-05-12 | CMS Record Updated: 2017-06-09 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RC0000X)
What Does Taxonomy Code 207RC0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RC0000X translates to:
"Board-Certified Cardiologist (Heart & Blood Vessel Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (RIAZ M. AHMED, M.D.)
Typical CPT / Diagnostic Procedures:- Transthoracic Doppler Echocardiography (TTE — CPT 93306)
- 12-Lead Electrocardiogram (ECG) & Holter / Event Arrhythmia Monitoring
- Exercise Treadmill & Myocardial Perfusion Nuclear Stress Testing
- Diagnostic Coronary Angiography & Percutaneous Coronary Intervention (PCI)
- High-Intensity Statins (Atorvastatin, Rosuvastatin) & Ezetimibe
- Beta-Blockers (Metoprolol Succinate, Carvedilol, Bisoprolol)
- Sacubitril/Valsartan, Empagliflozin & Spironolactone (Heart Failure GDMT)
- Apixaban, Rivaroxaban & Clopidogrel (Atrial Fibrillation & Stent Thrombosis Prevention)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207UN0901X — Nuclear Medicine, Nuclear CardiologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Nuclear Medicine, Nuclear Cardiology | State: CA | License: A71370 | Primary: Secondary |
207RC0000X — Internal Medicine, Cardiovascular DiseasePlain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist) | State: CA | License: A71370 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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