CMS-1500 Box 24J / 33a • NPI
1821060153
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
5794 WIDEWATERS PKWY, SYRACUSE, NY, 13214-1845
✓ 9-Digit EDI 837 ZIP+4 (13214-1845)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1821060153 (MARY ABDULKY, 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 #1821060153)
Medicare Beneficiaries
1,193
Total Billed Services
149,594
Distinct CPT/HCPCS Codes
99
Medicare Allowed Total
$2,966,641.64
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
36415 | Insertion of needle into vein for collection of blood sample | 1,313 |
72082 | X-ray of entire middle and lower spine, 2-3 views | 16 |
72200 | X-ray of joint between lower spine and hip bone, 1-2 views | 27 |
73030 | X-ray of shoulder, minimum of 2 views | 31 |
73120 | X-ray of hand, 2 views | 87 |
73565 | X-ray of both knees while standing | 15 |
73620 | X-ray of foot, 2 views | 31 |
77080 | Dxa bone density measurement of hip, pelvis, spine | 13 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Allopurinol Allopurinol | 24 | 16 |
| Celecoxib Celecoxib | 18 | 12 |
| Folic Acid Folic Acid | 30 | <11 |
| Hydroxychloroquine Sulfate Hydroxychloroquine Sulfate | 100 | 60 |
| Methotrexate Methotrexate Sodium | 135 | 78 |
| Methylprednisolone Methylprednisolone | 17 | 15 |
| Prednisone Prednisone | 140 | 81 |
| Sulfasalazine Dr Sulfasalazine | 31 | 16 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1821060153 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARY ABDULKY, MD |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RR0500X (Internal Medicine, Rheumatology) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 5794 WIDEWATERS PKWY, SYRACUSE, NY, 13214-1845 |
| Practice Telephone / Fax | Tel: (315) 422-1513 | Fax: (315) 422-5890 |
| Administrative Mailing Address | 5794 WIDEWATERS PKWY, SYRACUSE, NY, 13214-1845 |
| Enumeration & Last Sync | Enumerated: 2006-02-02 | CMS Record Updated: 2020-12-10 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in SYRACUSE
🔒 Are you MARY ABDULKY, MD? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
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)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARY ABDULKY, 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
- 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 |
|---|---|
207RR0500X — Internal Medicine, RheumatologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: NY | License: 215685 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.