CMS-1500 Box 24J / 33a • NPI
1639664832
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
111 COLCHESTER AVE, BURLINGTON, VT, 05401-1473
✓ 9-Digit EDI 837 ZIP+4 (05401-1473)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1639664832 (KHALIL RAYHAN ALI, 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 #1639664832)
Medicare Beneficiaries
470
Total Billed Services
775
Distinct CPT/HCPCS Codes
28
Medicare Allowed Total
$78,126.26
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
95885 | Needle measurement of electrical activity in arm or leg muscles, limited study | 50 |
95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 91 |
95909 | Nerve conduction, 5-6 studies | 30 |
95910 | Nerve conduction, 7-8 studies | 16 |
95911 | Nerve conduction, 9-10 studies | 35 |
95912 | Nerve conduction, 11-12 studies | 11 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 15 |
99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 68 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Aimovig Autoinjector Erenumab-Aooe | 24 | <11 |
| Amitriptyline Hcl Amitriptyline Hcl | 14 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 17 | <11 |
| Carbamazepine Carbamazepine | 13 | <11 |
| Carbamazepine Er Carbamazepine | 14 | <11 |
| Carbidopa-Levodopa Carbidopa/Levodopa | 113 | 29 |
| Carbidopa-Levodopa Er Carbidopa/Levodopa | 12 | <11 |
| Clopidogrel Clopidogrel Bisulfate | 11 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1639664832 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KHALIL RAYHAN ALI, MD |
| Plain-English Specialty | Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) NUCC Code: 2084N0400X (Psychiatry & Neurology, Neurology) |
| Certifying / Licensing Body | American Board of Psychiatry and Neurology (ABPN) |
| Practice Location Address | 111 COLCHESTER AVE, BURLINGTON, VT, 05401-1473 |
| Practice Telephone / Fax | Tel: (802) 847-4589 |
| Administrative Mailing Address | NEUROLOGY DEPARTMENT, COLUMBIA, SC, 29203 |
| Enumeration & Last Sync | Enumerated: 2018-06-29 | CMS Record Updated: 2023-09-22 |
Clinic Location, Accessibility & Directions
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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)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KHALIL RAYHAN ALI, 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
- 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 Description | State License & Primary Status |
|---|---|
2084N0400X — Psychiatry & Neurology, NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: SC | License: LL61191 | Primary: Secondary |
2084N0400X — Psychiatry & Neurology, NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: VT | License: 042-0016725 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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