CMS-1500 Box 24J / 33a • NPI
1457029795
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
1720 2ND ST, CHENEY, WA, 99004-1910
✓ 9-Digit EDI 837 ZIP+4 (99004-1910)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1457029795 (AHMED GALAL ABDELSHAFY, PA-C) 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
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1457029795)
Medicare Beneficiaries
17
Total Billed Services
20
Distinct CPT/HCPCS Codes
4
Medicare Allowed Total
$187.11
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
83036 | Hemoglobin a1c level | 16 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 45 | 19 |
| Allopurinol Allopurinol | 27 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 36 | 12 |
| Aripiprazole Aripiprazole | 12 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 92 | 28 |
| Citalopram Hbr Citalopram Hydrobromide | 20 | <11 |
| Cyclobenzaprine Hcl Cyclobenzaprine Hcl | 27 | <11 |
| Duloxetine Hcl Duloxetine Hcl | 28 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1457029795 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AHMED GALAL ABDELSHAFY, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1720 2ND ST, CHENEY, WA, 99004-1910 |
| Practice Telephone / Fax | Tel: (509) 444-8200 |
| Administrative Mailing Address | 611 N IRON BRIDGE WAY, SPOKANE, WA, 99202-4932 |
| Enumeration & Last Sync | Enumerated: 2021-09-01 | CMS Record Updated: 2022-10-25 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AHMED GALAL ABDELSHAFY, PA-C)
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 |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: WA | License: PA61361157 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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