CMS-1500 Box 24J / 33a • NPI
1609857473
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207KI0005X (CMS 03)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology
Box 32 Service Location & ZIP+4
836 FARMINGTON AVE, SUITE 207, WEST HARTFORD, CT, 06119
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1609857473 (JASMINE M ABBOSH, 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1609857473 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JASMINE M ABBOSH, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology NUCC Code: 207KI0005X (Allergy & Immunology, Clinical & Laboratory Immunology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 836 FARMINGTON AVE, SUITE 207, WEST HARTFORD, CT, 06119 |
| Practice Telephone / Fax | Tel: (860) 232-9911 | Fax: (860) 233-5996 |
| Administrative Mailing Address | 836 FARMINGTON AVENUE, WEST HARTFORD, CT, 06119 |
| Enumeration & Last Sync | Enumerated: 2005-11-09 | CMS Record Updated: 2026-07-13 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207KI0005X)
What Does Taxonomy Code 207KI0005X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207KI0005X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JASMINE M ABBOSH, 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 |
|---|---|
207K00000X — Allergy & ImmunologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology | State: CT | License: 042394 | Primary: Secondary |
207KI0005X — Allergy & Immunology, Clinical & Laboratory ImmunologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology | State: CT | License: 042394 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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