✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207R00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

CANDICE B ABUSO, MD (NPI #1780670489)

Internal Medicine • HARVEY, LA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1780670489
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
2845 MANHATTAN BLVD, HARVEY, LA, 70058-2987
✓ 9-Digit EDI 837 ZIP+4 (70058-2987)
Practice Phone & Referral Fax
Fax: (504) 361-5496
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1780670489 (CANDICE B ABUSO, 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

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 #1780670489)

Medicare Beneficiaries
188
Total Billed Services
453
Distinct CPT/HCPCS Codes
10
Medicare Allowed Total
$32,284.49

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

CPT / HCPCSClinical Procedure DescriptionServices
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more311
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit15

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Albuterol Sulfate Hfa
Albuterol Sulfate
14950
Alendronate Sodium
Alendronate Sodium
8426
Allopurinol
Allopurinol
7823
Alprazolam
Alprazolam
22040
Amitriptyline Hcl
Amitriptyline Hcl
22<11
Amlodipine Besylate
Amlodipine Besylate
631190
Amlodipine Besylate-Benazepril
Amlodipine Besylate/Benazepril
22<11
Amoxicillin
Amoxicillin
7357

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1780670489 (NPI-1 Individual Practitioner)
Provider / Legal NameCANDICE B ABUSO, MD
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207R00000X (Internal Medicine)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address2845 MANHATTAN BLVD, HARVEY, LA, 70058-2987
Practice Telephone / FaxTel: (504) 349-6930 | Fax: (504) 361-5496
Administrative Mailing Address1101 MEDICAL CENTER BLVD, MARRERO, LA, 70072-3147
Enumeration & Last SyncEnumerated: 2005-09-27 | CMS Record Updated: 2014-02-03

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2845 MANHATTAN BLVD, HARVEY, LA, 70058-2987

🗺️ Open in Google Maps 🏥 More Providers in HARVEY

Plain-English Taxonomy & CMS Crosswalk (207R00000X)

What Does Taxonomy Code 207R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine)
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 (CANDICE B ABUSO, 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 DescriptionState License & Primary Status
207R00000X — Internal Medicine
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: LA | License: 13507R | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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