CMS-1500 Box 24J / 33a • NPI
1831160316
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RG0100X (CMS 10)
Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)
Box 32 Service Location & ZIP+4
1460 WALTON BLVD STE 209, ROCHESTER HILLS, MI, 48309-1779
✓ 9-Digit EDI 837 ZIP+4 (48309-1779)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1831160316 (KIM ALMODOVAR, 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 #1831160316)
Medicare Beneficiaries
195
Total Billed Services
648
Distinct CPT/HCPCS Codes
35
Medicare Allowed Total
$69,029.58
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 21 |
43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 71 |
43255 | Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 21 |
45378 | Diagnostic exam of large bowel using a flexible endoscope | 16 |
45380 | Biopsy of large bowel using a flexible endoscope | 22 |
45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 26 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 37 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 19 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amitriptyline Hcl Amitriptyline Hcl | 16 | <11 |
| Colestipol Hcl Colestipol Hcl | 18 | 11 |
| Dicyclomine Hcl Dicyclomine Hcl | 37 | 17 |
| Famotidine Famotidine | 175 | 66 |
| Humira(Cf) Pen Adalimumab | 14 | <11 |
| Linzess Linaclotide | 16 | <11 |
| Mesalamine Mesalamine | 13 | <11 |
| Mesalamine Dr Mesalamine | 13 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1831160316 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KIM ALMODOVAR, MD |
| Plain-English Specialty | Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) NUCC Code: 207RG0100X (Internal Medicine, Gastroenterology) |
| Certifying / Licensing Body | American Board of Internal Medicine — Gastroenterology |
| Practice Location Address | 1460 WALTON BLVD STE 209, ROCHESTER HILLS, MI, 48309-1779 |
| Practice Telephone / Fax | Tel: (248) 656-4225 | Fax: (248) 656-4250 |
| Administrative Mailing Address | 1460 WALTON BLVD STE 209, ROCHESTER HILLS, MI, 48309-1779 |
| Enumeration & Last Sync | Enumerated: 2006-01-31 | CMS Record Updated: 2026-09-15 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RG0100X)
What Does Taxonomy Code 207RG0100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RG0100X translates to:
"Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KIM ALMODOVAR, MD)
Typical CPT / Diagnostic Procedures:- Screening & Diagnostic Colonoscopy with Polypectomy (CPT 45378–45385)
- Esophagogastroduodenoscopy / Upper GI Endoscopy (EGD — CPT 43239)
- Hepatic Elastography (FibroScan) & Fractionated Bilirubin/LFT Workup
- Internal Hemorrhoid Banding & Anorectal Diagnostic Evaluation
- Proton Pump Inhibitors (Omeprazole, Pantoprazole, Esomeprazole)
- H. pylori Quadruple & Triple Eradication Regimens
- Mesalamine & Biologic Immunomodulators (Inflammatory Bowel Disease)
- Osmotic Laxatives, Rifaximin & Ursodeoxycholic Acid
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RG0100X — Internal Medicine, GastroenterologyPlain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) | State: TN | License: 65385 | Primary: Yes (Primary) |
207RG0100X — Internal Medicine, GastroenterologyPlain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) | State: OR | License: MD228049 | Primary: Secondary |
207RG0100X — Internal Medicine, GastroenterologyPlain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) | State: AZ | License: 63580 | Primary: Secondary |
207RG0100X — Internal Medicine, GastroenterologyPlain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) | State: MI | License: 4301053408 | Primary: Secondary |
207RG0100X — Internal Medicine, GastroenterologyPlain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) | State: WI | License: 1082 | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: TN | License: 65385 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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