CMS-1500 Box 24J / 33a • NPI
1780654988
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RG0100X (CMS 10)
Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)
Box 32 Service Location & ZIP+4
802 AINSWORTH DR STE A, PRESCOTT, AZ, 86301-1623
✓ 9-Digit EDI 837 ZIP+4 (86301-1623)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1780654988 (SHAYAN ALAM, 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 #1780654988)
Medicare Beneficiaries
928
Total Billed Services
1,983
Distinct CPT/HCPCS Codes
42
Medicare Allowed Total
$230,476.38
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 29 |
43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 313 |
43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 83 |
43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | 20 |
45378 | Diagnostic exam of large bowel using a flexible endoscope | 51 |
45380 | Biopsy of large bowel using a flexible endoscope | 403 |
45381 | Injection beneath lining of large bowel using a flexible endoscope | 70 |
45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 326 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Azathioprine Azathioprine | 21 | <11 |
| Budesonide Dr Budesonide | 22 | 15 |
| Budesonide Ec Budesonide | 22 | 14 |
| Cholestyramine Cholestyramine (With Sugar) | 14 | <11 |
| Creon Lipase/Protease/Amylase | 13 | <11 |
| Dicyclomine Hcl Dicyclomine Hcl | 30 | 14 |
| Diphenoxylate-Atropine Diphenoxylate Hcl/Atropine | 19 | <11 |
| Esomeprazole Magnesium Esomeprazole Magnesium | 14 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1780654988 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SHAYAN ALAM, M.D. |
| Plain-English Specialty | Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) NUCC Code: 207RG0100X (Internal Medicine, Gastroenterology) |
| Certifying / Licensing Body | American Board of Internal Medicine — Gastroenterology |
| Practice Location Address | 802 AINSWORTH DR STE A, PRESCOTT, AZ, 86301-1623 |
| Practice Telephone / Fax | Tel: (928) 771-5548 | Fax: (928) 771-5549 |
| Administrative Mailing Address | PO BOX 10880, PRESCOTT, AZ, 86304-0880 |
| Enumeration & Last Sync | Enumerated: 2006-01-23 | CMS Record Updated: 2025-09-29 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RG0100X)
What Does Taxonomy Code 207RG0100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RG0100X translates to:
"Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SHAYAN ALAM, M.D.)
Typical CPT / Diagnostic Procedures:- Screening & Diagnostic Colonoscopy with Polypectomy (CPT 45378–45385)
- Esophagogastroduodenoscopy / Upper GI Endoscopy (EGD — CPT 43239)
- Hepatic Elastography (FibroScan) & Fractionated Bilirubin/LFT Workup
- Internal Hemorrhoid Banding & Anorectal Diagnostic Evaluation
- Proton Pump Inhibitors (Omeprazole, Pantoprazole, Esomeprazole)
- H. pylori Quadruple & Triple Eradication Regimens
- Mesalamine & Biologic Immunomodulators (Inflammatory Bowel Disease)
- Osmotic Laxatives, Rifaximin & Ursodeoxycholic Acid
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
174400000X — SpecialistPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: CA | License: a106779 | Primary: Secondary |
207RG0100X — Internal Medicine, GastroenterologyPlain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) | State: AZ | License: 36010 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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