CMS-1500 Box 24J / 33a • NPI
1497739205
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2085R0204X (CMS 94)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology
Box 32 Service Location & ZIP+4
6101 PINE RIDGE RD, NAPLES, FL, 34119-3900
✓ 9-Digit EDI 837 ZIP+4 (34119-3900)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1497739205 (MAZEN K ABUAWAD, 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 | 1497739205 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MAZEN K ABUAWAD, M.D. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology NUCC Code: 2085R0204X (Radiology, Vascular & Interventional Radiology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 6101 PINE RIDGE RD, NAPLES, FL, 34119-3900 |
| Practice Telephone / Fax | Tel: (239) 348-4221 |
| Administrative Mailing Address | 7606 PEBBLE CREEK CIR APT 201, NAPLES, FL, 34108-6525 |
| Enumeration & Last Sync | Enumerated: 2005-12-05 | CMS Record Updated: 2023-01-13 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2085R0204X)
What Does Taxonomy Code 2085R0204X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0204X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MAZEN K ABUAWAD, 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 |
|---|---|
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: MO | License: 2002008173 | Primary: Secondary |
2085R0204X — Radiology, Vascular & Interventional RadiologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology | State: MO | License: 2002008173 | Primary: Secondary |
2085R0204X — Radiology, Vascular & Interventional RadiologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology | State: IL | License: 036104926 | Primary: Secondary |
2085R0204X — Radiology, Vascular & Interventional RadiologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology | State: NE | License: 21175 | Primary: Secondary |
2085R0204X — Radiology, Vascular & Interventional RadiologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology | State: FL | License: ME110783 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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