CMS-1500 Box 24J / 33a • NPI
1417576984
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208M00000X (CMS C6)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist
Box 32 Service Location & ZIP+4
10010 KENNERLY RD, SAINT LOUIS, MO, 63128-2106
✓ 9-Digit EDI 837 ZIP+4 (63128-2106)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1417576984 (MUHADDIS EJAZ AHMAD, 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 #1417576984)
Medicare Beneficiaries
285
Total Billed Services
806
Distinct CPT/HCPCS Codes
12
Medicare Allowed Total
$77,747.51
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 39 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 353 |
99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 201 |
99239 | Hospital discharge day management, more than 30 minutes | 182 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amlodipine Besylate Amlodipine Besylate | 35 | 21 |
| Amlodipine-Olmesartan Amlodipine Bes/Olmesartan Med | 11 | <11 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 13 | 13 |
| Atorvastatin Calcium Atorvastatin Calcium | 49 | 27 |
| Carvedilol Carvedilol | 17 | 12 |
| Cephalexin Cephalexin | 11 | 11 |
| Ciprofloxacin Hcl Ciprofloxacin Hcl | 12 | 12 |
| Clopidogrel Clopidogrel Bisulfate | 21 | 11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1417576984 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MUHADDIS EJAZ AHMAD, M.D. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist NUCC Code: 208M00000X (Hospitalist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 10010 KENNERLY RD, SAINT LOUIS, MO, 63128-2106 |
| Practice Telephone / Fax | Tel: (314) 525-1000 |
| Administrative Mailing Address | MERCY HOSPITAL SOUTH 10010 KENNERLY ROAD, ST LOUIS, MO, 63128 |
| Enumeration & Last Sync | Enumerated: 2020-04-14 | CMS Record Updated: 2023-12-14 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208M00000X)
What Does Taxonomy Code 208M00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208M00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MUHADDIS EJAZ AHMAD, M.D.)
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 |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: MO | License: 2023032162 | Primary: Secondary |
208M00000X — HospitalistPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist | State: MO | License: 2023032162 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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