✓ Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) (2084N0400X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

AJAY PRAKASH ABAD, MD (NPI #1639311244)

Psychiatry & Neurology, Neurology • BUFFALO, NY • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1639311244
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2084N0400X (CMS 13)
Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)
Box 32 Service Location & ZIP+4
ELM AND CARLTON STREETS, BUFFALO, NY, 14263-0001
✓ 9-Digit EDI 837 ZIP+4 (14263-0001)
Practice Phone & Referral Fax
Fax: (716) 845-4704
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1639311244 (AJAY PRAKASH ABAD, 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 #1639311244)

Medicare Beneficiaries
75
Total Billed Services
135
Distinct CPT/HCPCS Codes
14
Medicare Allowed Total
$16,922.55

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes11

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Amitriptyline Hcl
Amitriptyline Hcl
11<11
Carbamazepine
Carbamazepine
14<11
Clonazepam
Clonazepam
11<11
Dexamethasone
Dexamethasone
8328
Divalproex Sodium Er
Divalproex Sodium
11<11
Fluoxetine Hcl
Fluoxetine Hcl
20<11
Gabapentin
Gabapentin
30<11
Lacosamide
Lacosamide
45<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1639311244 (NPI-1 Individual Practitioner)
Provider / Legal NameAJAY PRAKASH ABAD, MD
Plain-English SpecialtyBoard-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)
NUCC Code: 2084N0400X (Psychiatry & Neurology, Neurology)
Certifying / Licensing BodyAmerican Board of Psychiatry and Neurology (ABPN)
Practice Location AddressELM AND CARLTON STREETS, BUFFALO, NY, 14263-0001
Practice Telephone / FaxTel: (716) 845-2300 | Fax: (716) 845-4704
Administrative Mailing AddressELM AND CARLTON STREETS, BUFFALO, NY, 14263-0001
Enumeration & Last SyncEnumerated: 2009-03-27 | CMS Record Updated: 2020-12-16

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

ELM AND CARLTON STREETS, BUFFALO, NY, 14263-0001

🗺️ Open in Google Maps 🏥 More Providers in BUFFALO

Plain-English Taxonomy & CMS Crosswalk (2084N0400X)

What Does Taxonomy Code 2084N0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084N0400X translates to:
"Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 13 (Physician/Neurology) • CMS Code 86 (Physician/Neuropsychiatry)
Certifying / Accrediting Authority: American Board of Psychiatry and Neurology (ABPN)
Clinical Scope: Stroke recovery, chronic or severe migraines, seizures, numbness/tingling in hands or feet (neuropathy), tremors, memory loss, or suspected CSF leak.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AJAY PRAKASH ABAD, MD)

Typical CPT / Diagnostic Procedures:
  • Electroencephalography (EEG — CPT 95816) for Seizure & Epilepsy Evaluation
  • Electromyography (EMG) & Nerve Conduction Studies (NCS)
  • Lumbar Puncture & Cerebrospinal Fluid (CSF) Pressure/Analysis
  • Acute Ischemic Stroke NIHSS Assessment & Neuroimaging Review
Common Therapeutic Classes:
  • CGRP Antagonists & Triptans (Sumatriptan, Rizatriptan) for Migraine
  • Antiepileptic Drugs (Levetiracetam, Lamotrigine, Valproate)
  • Levodopa/Carbidopa (Parkinson's Disease) & Gabapentin/Pregabalin (Neuropathy)
  • Antiplatelet & Secondary Stroke Prevention Regimens

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
2084N0400X — Psychiatry & Neurology, Neurology
Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)
State: NY | License: 271072 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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