CMS-1500 Box 24J / 33a • NPI
1417443243
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
4887 WILLIAMS DR STE 107, GEORGETOWN, TX, 78633-2440
✓ 9-Digit EDI 837 ZIP+4 (78633-2440)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1417443243 (MOHAMMAD AL DARAWSHA, 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 #1417443243)
Medicare Beneficiaries
375
Total Billed Services
1,805
Distinct CPT/HCPCS Codes
24
Medicare Allowed Total
$133,990.31
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 16 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 676 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 91 |
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 60 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 177 |
99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 51 |
99239 | Hospital discharge day management, more than 30 minutes | 59 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 83 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Acyclovir Acyclovir | 16 | <11 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 146 | 47 |
| Alendronate Sodium Alendronate Sodium | 15 | <11 |
| Allopurinol Allopurinol | 48 | 19 |
| Alprazolam Alprazolam | 131 | 43 |
| Amiodarone Hcl Amiodarone Hcl | 18 | <11 |
| Amitriptyline Hcl Amitriptyline Hcl | 23 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 226 | 61 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1417443243 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MOHAMMAD AL DARAWSHA, MD |
| 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 | 4887 WILLIAMS DR STE 107, GEORGETOWN, TX, 78633-2440 |
| Practice Telephone / Fax | Tel: (512) 588-7008 | Fax: (888) 440-2690 |
| Administrative Mailing Address | 4887 WILLIAMS DR STE 107, GEORGETOWN, TX, 78633-2440 |
| Enumeration & Last Sync | Enumerated: 2018-07-04 | CMS Record Updated: 2026-08-25 |
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 (MOHAMMAD AL DARAWSHA, MD)
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: TX | License: V4084 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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