CMS-1500 Box 24J / 33a • NPI
1780883371
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2086S0129X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery
Box 32 Service Location & ZIP+4
1300 WOLF ST, 1ST FLOOR, PHILADELPHIA, PA, 19148-2912
✓ 9-Digit EDI 837 ZIP+4 (19148-2912)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1780883371 (BABAK ABAI, 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 #1780883371)
Medicare Beneficiaries
324
Total Billed Services
710
Distinct CPT/HCPCS Codes
116
Medicare Allowed Total
$187,607.50
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 11 |
99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 28 |
99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 36 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 12 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 101 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 115 |
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 41 |
99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 83 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Cilostazol Cilostazol | 16 | <11 |
| Clopidogrel Clopidogrel Bisulfate | 36 | 17 |
| Oxycodone Hcl Oxycodone Hcl | 12 | <11 |
| Xarelto Rivaroxaban | 14 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1780883371 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BABAK ABAI, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery NUCC Code: 2086S0129X (N/A) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1300 WOLF ST, 1ST FLOOR, PHILADELPHIA, PA, 19148-2912 |
| Practice Telephone / Fax | Tel: (215) 551-0360 |
| Administrative Mailing Address | 1300 WOLF ST, PHILADELPHIA, PA, 19148-2912 |
| Enumeration & Last Sync | Enumerated: 2007-07-13 | CMS Record Updated: 2013-02-12 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2086S0129X)
What Does Taxonomy Code 2086S0129X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0129X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BABAK ABAI, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: NJ | License: MA08224200 | Primary: Secondary |
2086S0129X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery | State: NJ | License: MA08224200 | Primary: Secondary |
2086S0129X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery | State: PA | License: MD419070 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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