CMS-1500 Box 24J / 33a • NPI
1487928693
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
208C00000X (CMS 02)
Board-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist)
Box 32 Service Location & ZIP+4
2223 W STATE ST, SUITE 117, OLEAN, NY, 14760-1938
✓ 9-Digit EDI 837 ZIP+4 (14760-1938)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1487928693 (ADIL H AL-HUMADI, P.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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1487928693 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADIL H AL-HUMADI, P.C. |
| Plain-English Specialty | Board-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist) NUCC Code: 208C00000X (Colon & Rectal Surgery) |
| Certifying / Licensing Body | American Board of Colon and Rectal Surgery (ABCRS) |
| Practice Location Address | 2223 W STATE ST, SUITE 117, OLEAN, NY, 14760-1938 |
| Practice Telephone / Fax | Tel: (716) 372-9629 | Fax: (716) 372-9638 |
| Administrative Mailing Address | 2223 W STATE ST, OLEAN, NY, 14760-1938 |
| Enumeration & Last Sync | Enumerated: 2012-03-06 | CMS Record Updated: 2012-03-06 |
| Authorized Official | ADIL AL-HUMADI (President) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (208C00000X)
What Does Taxonomy Code 208C00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208C00000X translates to:
"Board-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADIL H AL-HUMADI, P.C.)
Typical CPT / Diagnostic Procedures:- Diagnostic Anoscopy & Rigid/Flexible Sigmoidoscopy (CPT 46600)
- Rubber Band Ligation of Internal Hemorrhoids (CPT 46221)
- Excisional Hemorrhoidectomy, Fistulotomy & Lateral Internal Sphincterotomy
- Laparoscopic & Robotic Colectomy for Colorectal Neoplasia
- Topical Hydrocortisone, Pramoxine & Nifedipine/Diltiazem Anorectal Ointments
- Micronized Purified Flavonoid Fraction (Diosmin/Hesperidin) & Psyllium Fiber
- Preoperative Oral Antibiotic Bowel Preparation Regimens
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
208C00000X — Colon & Rectal SurgeryPlain English: Board-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist) | State: NY | License: 120097-1 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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