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

ILANA ABELES, M.D., PhD (NPI #1770963464)

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

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1770963464
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
400 RED CREEK DR STE 240, ROCHESTER, NY, 14623-4281
✓ 9-Digit EDI 837 ZIP+4 (14623-4281)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1770963464 (ILANA ABELES, M.D., 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

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 #1770963464)

Medicare Beneficiaries
83
Total Billed Services
221
Distinct CPT/HCPCS Codes
10
Medicare Allowed Total
$16,225.54

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

CPT / HCPCSClinical Procedure DescriptionServices
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more141
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's61

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Actemra Actpen
Tocilizumab
64<11
Alendronate Sodium
Alendronate Sodium
4414
Allopurinol
Allopurinol
62<11
Celecoxib
Celecoxib
41<11
Colchicine
Colchicine
26<11
Cosentyx Sensoready (2 Pens)
Secukinumab
16<11
Cosentyx Sensoready Pen
Secukinumab
12<11
Enbrel
Etanercept
26<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1770963464 (NPI-1 Individual Practitioner)
Provider / Legal NameILANA ABELES, M.D., PhD
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 Address400 RED CREEK DR STE 240, ROCHESTER, NY, 14623-4281
Practice Telephone / FaxTel: (585) 486-0901
Administrative Mailing Address601 ELMWOOD AVE BOX MED, ROCHESTER, NY, 14642-0001
Enumeration & Last SyncEnumerated: 2015-06-08 | CMS Record Updated: 2024-01-16

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

400 RED CREEK DR STE 240, ROCHESTER, NY, 14623-4281

🗺️ Open in Google Maps 🏥 More Providers in ROCHESTER

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 (ILANA ABELES, M.D., PhD)

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: 306493 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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