CMS-1500 Box 24J / 33a • NPI
1689162786
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
6565 S YALE AVE STE 209, TULSA, OK, 74136-8303
✓ 9-Digit EDI 837 ZIP+4 (74136-8303)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1689162786 (ODAI ABDALLA, 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 #1689162786)
Medicare Beneficiaries
20
Total Billed Services
36
Distinct CPT/HCPCS Codes
6
Medicare Allowed Total
$2,413.90
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 17 |
G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 15 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amitriptyline Hcl Amitriptyline Hcl | 22 | <11 |
| Baclofen Baclofen | 57 | 19 |
| Cyclobenzaprine Hcl Cyclobenzaprine Hcl | 41 | 21 |
| Diclofenac Sodium Diclofenac Sodium | 48 | 26 |
| Gabapentin Gabapentin | 183 | 72 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 131 | 57 |
| Meloxicam Meloxicam | 56 | 17 |
| Methadone Hcl Methadone Hcl | 26 | 11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1689162786 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ODAI ABDALLA, 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 | 6565 S YALE AVE STE 209, TULSA, OK, 74136-8303 |
| Practice Telephone / Fax | Tel: (918) 488-0990 | Fax: (918) 728-8036 |
| Administrative Mailing Address | 6600 S YALE AVE STE 1200, TULSA, OK, 74136-3361 |
| Enumeration & Last Sync | Enumerated: 2018-04-25 | CMS Record Updated: 2026-01-19 |
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 (ODAI ABDALLA, 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: OK | License: 44464 | Primary: Yes (Primary) |
2084N0400X — Psychiatry & Neurology, NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: CT | License: 80567 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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