CMS-1500 Box 24J / 33a • NPI
1437432192
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RG0100X (CMS 10)
Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)
Box 32 Service Location & ZIP+4
260 W SUNRISE HWY STE 200, VALLEY STREAM, NY, 11581-1051
✓ 9-Digit EDI 837 ZIP+4 (11581-1051)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1437432192 (NAEEM ABBAS, 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 #1437432192)
Medicare Beneficiaries
159
Total Billed Services
244
Distinct CPT/HCPCS Codes
14
Medicare Allowed Total
$62,279.67
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 26 |
45380 | Biopsy of large bowel using a flexible endoscope | 24 |
45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 36 |
82962 | Blood glucose (sugar) test performed by hand-held instrument | 21 |
99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 11 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 48 |
99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 12 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 24 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amoxicillin Amoxicillin | 23 | 23 |
| Clarithromycin Clarithromycin | 15 | 15 |
| Dicyclomine Hcl Dicyclomine Hcl | 29 | 14 |
| Doxycycline Monohydrate Doxycycline Monohydrate | 13 | 13 |
| Famotidine Famotidine | 220 | 118 |
| Gavilyte-C Peg3350/Sod Sulf,bicarb,cl/Kcl | 166 | 155 |
| Gavilyte-G Peg3350/Sod Sulf,bicarb,cl/Kcl | 79 | 73 |
| Hydrocortisone Hydrocortisone | 17 | 14 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1437432192 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | NAEEM ABBAS, MD |
| Plain-English Specialty | Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) NUCC Code: 207RG0100X (Internal Medicine, Gastroenterology) |
| Certifying / Licensing Body | American Board of Internal Medicine — Gastroenterology |
| Practice Location Address | 260 W SUNRISE HWY STE 200, VALLEY STREAM, NY, 11581-1051 |
| Practice Telephone / Fax | Tel: (516) 825-3600 | Fax: (516) 872-5137 |
| Administrative Mailing Address | 55 WATER ST FL 2, NEW YORK, NY, 10041-0010 |
| Enumeration & Last Sync | Enumerated: 2011-09-20 | CMS Record Updated: 2025-10-16 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RG0100X)
What Does Taxonomy Code 207RG0100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RG0100X translates to:
"Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (NAEEM ABBAS, MD)
Typical CPT / Diagnostic Procedures:- Screening & Diagnostic Colonoscopy with Polypectomy (CPT 45378–45385)
- Esophagogastroduodenoscopy / Upper GI Endoscopy (EGD — CPT 43239)
- Hepatic Elastography (FibroScan) & Fractionated Bilirubin/LFT Workup
- Internal Hemorrhoid Banding & Anorectal Diagnostic Evaluation
- Proton Pump Inhibitors (Omeprazole, Pantoprazole, Esomeprazole)
- H. pylori Quadruple & Triple Eradication Regimens
- Mesalamine & Biologic Immunomodulators (Inflammatory Bowel Disease)
- Osmotic Laxatives, Rifaximin & Ursodeoxycholic Acid
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RG0100X — Internal Medicine, GastroenterologyPlain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) | State: NY | License: 279163 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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