CMS-1500 Box 24J / 33a • NPI
1821652157
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208M00000X (CMS C6)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist
Box 32 Service Location & ZIP+4
101 SIVLEY RD SW, HUNTSVILLE, AL, 35801-4470
✓ 9-Digit EDI 837 ZIP+4 (35801-4470)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1821652157 (TOAA ABUELENEN, 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 #1821652157)
Medicare Beneficiaries
155
Total Billed Services
497
Distinct CPT/HCPCS Codes
8
Medicare Allowed Total
$45,638.64
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 |
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 20 |
99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 220 |
99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 174 |
99238 | Hospital discharge day management, 30 minutes or less | 31 |
99239 | Hospital discharge day management, more than 30 minutes | 34 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1821652157 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | TOAA ABUELENEN, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist NUCC Code: 208M00000X (Hospitalist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 101 SIVLEY RD SW, HUNTSVILLE, AL, 35801-4470 |
| Practice Telephone / Fax | Tel: (256) 801-6047 |
| Administrative Mailing Address | 14904 W HARDY DR, TAMPA, FL, 33613-1516 |
| Enumeration & Last Sync | Enumerated: 2019-04-22 | CMS Record Updated: 2023-11-10 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208M00000X)
What Does Taxonomy Code 208M00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208M00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (TOAA ABUELENEN, 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 |
|---|---|
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: AL | License: MD.46163 | Primary: Secondary |
208000000X — PediatricsPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: AL | License: MD.46163 | Primary: Secondary |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
208M00000X — HospitalistPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist | State: AL | License: MD.46163 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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