CMS-1500 Box 24J / 33a • NPI
1477871036
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
390200000X
Licensed & Credentialed Student in an Organized Health Care Education/Training Program
Box 32 Service Location & ZIP+4
4800 ALBERTA AVE, EL PASO, TX, 79905-2709
✓ 9-Digit EDI 837 ZIP+4 (79905-2709)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1477871036 (ROSANNA VICHUACO ABARY, 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1477871036 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ROSANNA VICHUACO ABARY, M.D. |
| Plain-English Specialty | Licensed & Credentialed Student in an Organized Health Care Education/Training Program NUCC Code: 390200000X (Student in an Organized Health Care Education/Training Program) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4800 ALBERTA AVE, EL PASO, TX, 79905-2709 |
| Practice Telephone / Fax | Tel: (915) 545-8826 | Fax: (915) 545-6975 |
| Administrative Mailing Address | 4800 ALBERTA AVE, EL PASO, TX, 79905-2709 |
| Enumeration & Last Sync | Enumerated: 2010-05-06 | CMS Record Updated: 2021-12-08 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (390200000X)
What Does Taxonomy Code 390200000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 390200000X translates to:
"Licensed & Credentialed Student in an Organized Health Care Education/Training Program"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ROSANNA VICHUACO ABARY, 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 |
|---|---|
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: TX | License: BP1-0037757 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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