CMS-1500 Box 24J / 33a • NPI
1396861936
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2085R0001X (CMS 92)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology
Box 32 Service Location & ZIP+4
7500 CHALLIS RD, BRIGHTON, MI, 48116-9416
✓ 9-Digit EDI 837 ZIP+4 (48116-9416)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1396861936 (EYAD ABU-ISA, 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 #1396861936)
Medicare Beneficiaries
108
Total Billed Services
2,225
Distinct CPT/HCPCS Codes
34
Medicare Allowed Total
$516,590.70
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
77014 | Ct guidance for insertion of radiation therapy fields | 447 |
77263 | Complex radiation therapy planning | 55 |
77290 | Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved | 16 |
77293 | Obtaining respiratory data needed to develop the optimal radiation treatment | 12 |
77300 | Calculation of radiation therapy dose | 158 |
77301 | High precision radiation therapy planning | 38 |
77307 | Complex radiation therapy planning for delivery of external radiation | 12 |
77334 | Design and construction of complex radiation treatment device | 100 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Dexamethasone Dexamethasone | 12 | <11 |
| Lidocaine Hcl Viscous Lidocaine Hcl | 35 | 15 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1396861936 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | EYAD ABU-ISA, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology NUCC Code: 2085R0001X (N/A) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 7500 CHALLIS RD, BRIGHTON, MI, 48116-9416 |
| Practice Telephone / Fax | Tel: (810) 263-4000 |
| Administrative Mailing Address | 3621 S STATE ST, ANN ARBOR, MI, 48108-1633 |
| Enumeration & Last Sync | Enumerated: 2007-03-22 | CMS Record Updated: 2026-06-15 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2085R0001X)
What Does Taxonomy Code 2085R0001X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0001X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (EYAD ABU-ISA, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
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: 4301087851 | Primary: Secondary |
2085R0001X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Radiation Oncology | State: MI | License: 4301087851 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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