CMS-1500 Box 24J / 33a • NPI
1699389163
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207SG0205X (CMS D3)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Medical Genetics — Ph.D. Medical Genetics
Box 32 Service Location & ZIP+4
1635 POPLAR ST, BRONX, NY, 10461-2600
✓ 9-Digit EDI 837 ZIP+4 (10461-2600)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1699389163 (ABUL KALAM AZAD, MD, MSc, PhD) 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 | 1699389163 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ABUL KALAM AZAD, MD, MSc, PhD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Medical Genetics — Ph.D. Medical Genetics NUCC Code: 207SG0205X (Medical Genetics, Ph.D. Medical Genetics) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1635 POPLAR ST, BRONX, NY, 10461-2600 |
| Practice Telephone / Fax | Tel: (718) 405-8109 |
| Administrative Mailing Address | 1641 METROPOLITAN AVE APT 3A, BRONX, NY, 10462-6263 |
| Enumeration & Last Sync | Enumerated: 2020-09-02 | CMS Record Updated: 2021-05-24 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207SG0205X)
What Does Taxonomy Code 207SG0205X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207SG0205X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Medical Genetics — Ph.D. Medical Genetics"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ABUL KALAM AZAD, MD, MSc, PhD)
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 |
|---|---|
207SC0300X — Medical Genetics, Clinical CytogeneticPlain English: Licensed & Credentialed Medical Genetics, Clinical Cytogenetic | State: NY | License: AZADA1 | Primary: Secondary |
207SG0203X — Medical Genetics, Clinical Molecular GeneticsPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Medical Genetics — Clinical Molecular Genetics | State: NY | License: AZADA1 | Primary: Secondary |
207SM0001X — Medical Genetics, Molecular Genetic PathologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Medical Genetics — Molecular Genetic Pathology | State: NY | License: AZADA1 | Primary: Secondary |
247ZC0005X — Pathology, Clinical Laboratory Director, Non-physicianPlain English: Licensed & Credentialed Pathology, Clinical Laboratory Director, Non-physician | State: NY | License: AZADA1 | Primary: Secondary |
207SG0205X — Medical Genetics, Ph.D. Medical GeneticsPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Medical Genetics — Ph.D. Medical Genetics | State: NY | License: AZADA1 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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