BADER ABU GHALYOUN, MD — NPI 1740492214 (Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) in STOCKTON, CA)

CMS-1500 Box 24J / 33a • NPI

1740492214

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207RI0011X (CMS C3)

Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)

Box 32 Service Location & ZIP+4

1801 E MARCH LN, STOCKTON, CA, 95210-6629

✓ 9-Digit EDI 837 ZIP+4 (95210-6629)

Practice Phone & Referral Fax

(209) 464-3615

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1740492214 (BADER ABU GHALYOUN, 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

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 #1740492214)

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

CPT / HCPCS	Clinical Procedure Description	Services
`78452`	Nuclear medicine studies of heart muscle at rest and with stress and spect	69
`93000`	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	99
`93005`	Routine electrocardiogram (ecg) using at least 12 leads with tracing	560
`93010`	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,083
`93010`	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	45
`93015`	Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	71
`93280`	Programming of dual lead pacemaker system	45
`93294`	Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days	53

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1740492214` (NPI-1 Individual Practitioner)
Provider / Legal Name	BADER ABU GHALYOUN, MD
Plain-English Specialty	Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: `207RI0011X` (Internal Medicine, Interventional Cardiology)
Certifying / Licensing Body	American Board of Internal Medicine (ABIM)
Practice Location Address	1801 E MARCH LN, STOCKTON, CA, 95210-6629
Practice Telephone / Fax	Tel: (209) 464-3615
Administrative Mailing Address	1801 E MARCH LN STE D400, STOCKTON, CA, 95210-6675
Enumeration & Last Sync	Enumerated: 2007-05-04 \| CMS Record Updated: 2020-06-25

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1801 E MARCH LN, STOCKTON, CA, 95210-6629

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Plain-English Taxonomy & CMS Crosswalk (207RI0011X)

What Does Taxonomy Code 207RI0011X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RI0011X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C3 (Physician/Interventional Cardiology)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BADER ABU GHALYOUN, MD)

Typical CPT / Diagnostic Procedures:

Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
Preoperative Medical Risk Assessment & Cardiac Clearance
Chronic Kidney, Hepatic & Metabolic Panel Interpretation
Adult Inpatient Hospitalist Management & Discharge Coordination

Common Therapeutic Classes:

Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208M00000X` — Hospitalist Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist	State: WV \| License: `24179` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: WV \| License: `24179` \| Primary: Secondary
`207RI0011X` — Internal Medicine, Interventional Cardiology Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: CA \| License: `C169074` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BADER ABU GHALYOUN, MD (NPI #1740492214)