CMS-1500 Box 24J / 33a • NPI
1720236953
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208G00000X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery)
Box 32 Service Location & ZIP+4
10833 LE CONTE AVE, DIV. OF CARDIOTHORACIC SURGERY, UCLA SCH OF MEDICINE, LOS ANGELES, CA, 90095-3075
✓ 9-Digit EDI 837 ZIP+4 (90095-3075)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1720236953 (KELECHI ABANOBI, 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
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 #1720236953)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Gabapentin Gabapentin | 29 | 24 |
| Ibuprofen Ibuprofen | 17 | 13 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1720236953 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KELECHI ABANOBI, M.D |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery) NUCC Code: 208G00000X (Thoracic Surgery (Cardiothoracic Vascular Surgery)) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 10833 LE CONTE AVE, DIV. OF CARDIOTHORACIC SURGERY, UCLA SCH OF MEDICINE, LOS ANGELES, CA, 90095-3075 |
| Practice Telephone / Fax | Tel: (310) 825-6256 |
| Administrative Mailing Address | 10833 LE CONTE AVE, LOS ANGELES, CA, 90095-3075 |
| Enumeration & Last Sync | Enumerated: 2008-08-29 | CMS Record Updated: 2024-04-09 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208G00000X)
What Does Taxonomy Code 208G00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208G00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KELECHI ABANOBI, 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
- 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 |
|---|---|
208G00000X — Thoracic Surgery (Cardiothoracic Vascular Surgery)Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery) | State: CA | License: A123706 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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