CMS-1500 Box 24J / 33a • NPI
1528042975
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RE0101X (CMS 11)
Board-Certified Endocrinologist (Diabetes, Thyroid & Hormone Specialist)
Box 32 Service Location & ZIP+4
3020 S PARK AVE, HERRIN, IL, 62948-3721
✓ 9-Digit EDI 837 ZIP+4 (62948-3721)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1528042975 (ISSA ABEDMAHMOUD, 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 #1528042975)
Medicare Beneficiaries
310
Total Billed Services
523
Distinct CPT/HCPCS Codes
6
Medicare Allowed Total
$36,083.84
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 26 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 472 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Admelog Insulin Lispro | 15 | <11 |
| Admelog Solostar Insulin Lispro | 13 | <11 |
| Amitriptyline Hcl Amitriptyline Hcl | 12 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 25 | <11 |
| Anastrozole Anastrozole | 13 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 74 | 19 |
| Basaglar Kwikpen U-100 Insulin Glargine,hum.Rec.Anlog | 79 | 19 |
| Bromocriptine Mesylate Bromocriptine Mesylate | 12 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1528042975 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ISSA ABEDMAHMOUD, MD |
| Plain-English Specialty | Board-Certified Endocrinologist (Diabetes, Thyroid & Hormone Specialist) NUCC Code: 207RE0101X (Internal Medicine, Endocrinology, Diabetes & Metabolism) |
| Certifying / Licensing Body | American Board of Internal Medicine — Endocrinology, Diabetes & Metabolism |
| Practice Location Address | 3020 S PARK AVE, HERRIN, IL, 62948-3721 |
| Practice Telephone / Fax | Tel: (618) 988-1877 | Fax: (618) 988-8578 |
| Administrative Mailing Address | PO BOX 1096, HERRIN, IL, 62948-1096 |
| Enumeration & Last Sync | Enumerated: 2005-11-30 | CMS Record Updated: 2008-11-18 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RE0101X)
What Does Taxonomy Code 207RE0101X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RE0101X translates to:
"Board-Certified Endocrinologist (Diabetes, Thyroid & Hormone Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ISSA ABEDMAHMOUD, MD)
Typical CPT / Diagnostic Procedures:- Continuous Glucose Monitoring (CGM) & Insulin Pump Titration (CPT 95251)
- Thyroid Ultrasound & Fine-Needle Aspiration (FNA) Biopsy of Thyroid Nodules
- DEXA Bone Mineral Density Interpretation for Osteoporosis
- Comprehensive Pituitary, Adrenal & Reproductive Hormone Panels
- GLP-1 / GIP Receptor Agonists (Semaglutide, Tirzepatide) & Insulins
- Levothyroxine (Hypothyroidism) & Methimazole / Carbimazole (Hyperthyroidism)
- Metformin, Empagliflozin & Dapagliflozin
- Bisphosphonates (Alendronate, Zoledronic Acid) & Denosumab
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RE0101X — Internal Medicine, Endocrinology, Diabetes & MetabolismPlain English: Board-Certified Endocrinologist (Diabetes, Thyroid & Hormone Specialist) | State: IL | License: 036097793 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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