CMS-1500 Box 24J / 33a • NPI
1407146392
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2086S0102X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Critical Care
Box 32 Service Location & ZIP+4
173 MINEOLA BLVD STE 401, MINEOLA, NY, 11501-2555
✓ 9-Digit EDI 837 ZIP+4 (11501-2555)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1407146392 (IBRAHIM ABD EL-SHAFY, 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 #1407146392)
Medicare Beneficiaries
257
Total Billed Services
484
Distinct CPT/HCPCS Codes
25
Medicare Allowed Total
$64,241.09
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 20 |
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 66 |
99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 205 |
99285 | Emergency department visit with high level of medical decision making | 24 |
99291 | Critical care, first 30-74 minutes | 109 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1407146392 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | IBRAHIM ABD EL-SHAFY, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Critical Care NUCC Code: 2086S0102X (Surgery, Surgical Critical Care) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 173 MINEOLA BLVD STE 401, MINEOLA, NY, 11501-2555 |
| Practice Telephone / Fax | Tel: (516) 663-1145 |
| Administrative Mailing Address | 173 MINEOLA BLVD STE 401, MINEOLA, NY, 11501-2555 |
| Enumeration & Last Sync | Enumerated: 2011-04-12 | CMS Record Updated: 2022-04-14 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2086S0102X)
What Does Taxonomy Code 2086S0102X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0102X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Critical Care"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (IBRAHIM ABD EL-SHAFY, 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 |
|---|---|
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: NY | License: 313310 | Primary: Secondary |
2086S0102X — Surgery, Surgical Critical CarePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Critical Care | State: NY | License: 313310 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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