CMS-1500 Box 24J / 33a • NPI
1790513067
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
4550 MONTGOMERY AVE, BETHESDA, MD, 20814-3304
✓ 9-Digit EDI 837 ZIP+4 (20814-3304)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1790513067 (ACCOMPANY MEDICAL GROUP OF COLORADO, P.C.) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1790513067 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ACCOMPANY MEDICAL GROUP OF COLORADO, P.C. |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207R00000X (Internal Medicine) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 4550 MONTGOMERY AVE, BETHESDA, MD, 20814-3304 |
| Practice Telephone / Fax | Tel: (301) 375-0166 |
| Administrative Mailing Address | 4550 MONTGOMERY AVE, BETHESDA, MD, 20814 |
| Enumeration & Last Sync | Enumerated: 2024-07-26 | CMS Record Updated: 2024-07-26 |
| Authorized Official | ELLEN WEINSTEIN (General Counsel) |
Clinic Location, Accessibility & Directions
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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)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ACCOMPANY MEDICAL GROUP OF COLORADO, P.C.)
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
- 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 Description | State License & Primary Status |
|---|---|
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: N/A | License: Verified | Primary: Secondary |
103TA0400X — Psychologist, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder) | State: N/A | License: Verified | Primary: Secondary |
172V00000X — Community Health WorkerPlain English: Licensed & Credentialed Community Health Worker | State: N/A | License: Verified | Primary: Secondary |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: N/A | License: Verified | Primary: Secondary |
207QG0300X — Family Medicine, Geriatric MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: N/A | License: Verified | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: N/A | License: Verified | Primary: Yes (Primary) |
207RG0300X — Internal Medicine, Geriatric MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: N/A | License: Verified | Primary: Secondary |
2084A0401X — Psychiatry & Neurology, Addiction MedicinePlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: N/A | License: Verified | Primary: Secondary |
2084P0800X — Psychiatry & Neurology, PsychiatryPlain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) | State: N/A | License: Verified | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: N/A | License: Verified | Primary: Secondary |
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: N/A | License: Verified | Primary: Secondary |
363LP2300X — Nurse Practitioner, Primary CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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