✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207RR0500X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

MICHAEL ROBERT ALLEN, M.D. (NPI #1770947889)

Internal Medicine, Rheumatology • TROY, NY • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1770947889
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RR0500X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
2414 15TH ST, TROY, NY, 12180-1701
✓ 9-Digit EDI 837 ZIP+4 (12180-1701)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1770947889 (MICHAEL ROBERT ALLEN, 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 #1770947889)

Medicare Beneficiaries
174
Total Billed Services
441
Distinct CPT/HCPCS Codes
25
Medicare Allowed Total
$43,025.32

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

CPT / HCPCSClinical Procedure DescriptionServices
20610 Aspiration and/or injection of fluid from large joint25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more142
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more45
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes21

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Actemra Actpen
Tocilizumab
7613
Alendronate Sodium
Alendronate Sodium
21<11
Allopurinol
Allopurinol
23<11
Azathioprine
Azathioprine
22<11
Benlysta
Belimumab
16<11
Celecoxib
Celecoxib
10440
Colchicine
Colchicine
4415
Diclofenac Sodium
Diclofenac Sodium
3620

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1770947889 (NPI-1 Individual Practitioner)
Provider / Legal NameMICHAEL ROBERT ALLEN, M.D.
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207RR0500X (Internal Medicine, Rheumatology)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address2414 15TH ST, TROY, NY, 12180-1701
Practice Telephone / FaxTel: (518) 271-1813
Administrative Mailing Address2414 15TH ST, TROY, NY, 12180-1701
Enumeration & Last SyncEnumerated: 2016-04-06 | CMS Record Updated: 2023-02-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2414 15TH ST, TROY, NY, 12180-1701

🗺️ Open in Google Maps 🏥 More Providers in TROY

Plain-English Taxonomy & CMS Crosswalk (207RR0500X)

What Does Taxonomy Code 207RR0500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RR0500X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 66 (Physician/Rheumatology)
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 (MICHAEL ROBERT ALLEN, M.D.)

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 DescriptionState License & Primary Status
207RR0500X — Internal Medicine, Rheumatology
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: NY | License: 299123 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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