CMS-1500 Box 24J / 33a • NPI
1568465912
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207YX0905X (CMS 04)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngology — Facial Plastic Surgery
Box 32 Service Location & ZIP+4
6355 WALKER LANE, SUITE 308, ALEXANDRIA, VA, 22310-3247
✓ 9-Digit EDI 837 ZIP+4 (22310-3247)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1568465912 (MICHAEL R ABIDIN, 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 #1568465912)
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
30140 | Removal of nasal air passage under lining tissue | 11 |
31231 | Diagnostic exam of nasal passages using an endoscope | 47 |
31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 80 |
31575 | Diagnostic exam of voice box using a flexible endoscope | 45 |
36415 | Insertion of needle into vein for collection of blood sample | 183 |
61782 | Computer-assisted procedure outside membrane covering brain | 14 |
69210 | Removal of impacted ear wax | 40 |
88184 | Flow cytometry technique for dna or cell analysis, first marker | 172 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Acetazolamide Acetazolamide | 12 | <11 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 35 | 17 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 85 | 69 |
| Azelastine-Fluticasone Azelastine/Fluticasone | 11 | <11 |
| Azithromycin Azithromycin | 55 | 32 |
| Cevimeline Hcl Cevimeline Hcl | 13 | <11 |
| Clarithromycin Clarithromycin | 30 | 23 |
| Doxycycline Hyclate Doxycycline Hyclate | 31 | 23 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1568465912 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MICHAEL R ABIDIN, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngology — Facial Plastic Surgery NUCC Code: 207YX0905X (Otolaryngology, Otolaryngology/Facial Plastic Surgery) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 6355 WALKER LANE, SUITE 308, ALEXANDRIA, VA, 22310-3247 |
| Practice Telephone / Fax | Tel: (703) 313-7700 | Fax: (703) 313-0178 |
| Administrative Mailing Address | 224D CORNWALL ST NW STE 403, LEESBURG, VA, 20176-2704 |
| Enumeration & Last Sync | Enumerated: 2005-05-31 | CMS Record Updated: 2023-10-09 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207YX0905X)
What Does Taxonomy Code 207YX0905X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207YX0905X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngology — Facial Plastic Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MICHAEL R ABIDIN, MD)
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 |
|---|---|
207YX0602X — Otolaryngology, Otolaryngic AllergyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngic Allergy | State: VA | License: 0101054696 | Primary: Secondary |
207YX0905X — Otolaryngology, Otolaryngology/Facial Plastic SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngology — Facial Plastic Surgery | State: VA | License: 0101054696 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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