AMER KHALED ABU ALFA, M.D. — NPI 1679697775 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology in BURLINGTON, VT)

CMS-1500 Box 24J / 33a • NPI

1679697775

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207ZP0102X (CMS 22)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology

Box 32 Service Location & ZIP+4

89 BEAUMONT AVE, BURLINGTON, VT, 05405-6147

✓ 9-Digit EDI 837 ZIP+4 (05405-6147)

Practice Phone & Referral Fax

(802) 656-0359

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1679697775 (AMER KHALED ABU ALFA, M.D.) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1679697775)

Medicare Beneficiaries

830

Total Billed Services

1,942

Distinct CPT/HCPCS Codes

Medicare Allowed Total

$69,246.56

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

CPT / HCPCS	Clinical Procedure Description	Services
`88304`	Pathology examination of tissue using a microscope, moderately low complexity	89
`88305`	Pathology examination of tissue using a microscope, intermediate complexity	1,383
`88307`	Pathology examination of tissue using a microscope, moderately high complexity	97
`88309`	Pathology examination of tissue using a microscope, high complexity	13
`88313`	Special stained specimen slides to examine tissue including interpretation and report	40
`88321`	Surgical pathology consultation and report on referred slides prepared elsewhere	19
`88341`	Special stained specimen slides to examine tissue, each additional procedure	178
`88342`	Special stained specimen slides to examine tissue, initial procedure	84

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1679697775` (NPI-1 Individual Practitioner)
Provider / Legal Name	AMER KHALED ABU ALFA, M.D.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology NUCC Code: `207ZP0102X` (Pathology, Anatomic Pathology & Clinical Pathology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	89 BEAUMONT AVE, BURLINGTON, VT, 05405-6147
Practice Telephone / Fax	Tel: (802) 656-0359
Administrative Mailing Address	60 SUNSET HILL DR, MONROE, CT, 06468-3331
Enumeration & Last Sync	Enumerated: 2007-03-16 \| CMS Record Updated: 2019-04-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

89 BEAUMONT AVE, BURLINGTON, VT, 05405-6147

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Plain-English Taxonomy & CMS Crosswalk (207ZP0102X)

What Does Taxonomy Code 207ZP0102X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207ZP0102X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 22 (Physician/Pathology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pathology, Anatomic Pathology & Clinical Pathology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMER KHALED ABU ALFA, M.D.)

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

Common Therapeutic Classes:

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
`207ZP0102X` — Pathology, Anatomic Pathology & Clinical Pathology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology	State: CT \| License: `034925` \| Primary: Secondary
`207ZP0102X` — Pathology, Anatomic Pathology & Clinical Pathology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology	State: VT \| License: `042.0014289` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AMER KHALED ABU ALFA, M.D. (NPI #1679697775)