✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207R00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

KATHLEEN ABALOS (NPI #1831451764)

Internal Medicine • WASHINGTON, DC • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1831451764
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
3800 RESERVOIR RD NW, WASHINGTON, DC, 20007-2113
✓ 9-Digit EDI 837 ZIP+4 (20007-2113)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1831451764 (KATHLEEN ABALOS) 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 #1831451764)

Medicare Beneficiaries
260
Total Billed Services
850
Distinct CPT/HCPCS Codes
14
Medicare Allowed Total
$109,315.54

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes634
99239 Hospital discharge day management, more than 30 minutes85
99291 Critical care, first 30-74 minutes23
99497 Advance care planning, first 30 minutes25

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1831451764 (NPI-1 Individual Practitioner)
Provider / Legal NameKATHLEEN ABALOS
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207R00000X (Internal Medicine)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address3800 RESERVOIR RD NW, WASHINGTON, DC, 20007-2113
Practice Telephone / FaxTel: (202) 444-3976
Administrative Mailing Address3800 RESERVOIR RD NW, WASHINGTON, DC, 20007-2113
Enumeration & Last SyncEnumerated: 2012-06-15 | CMS Record Updated: 2018-03-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3800 RESERVOIR RD NW, WASHINGTON, DC, 20007-2113

🗺️ Open in Google Maps 🏥 More Providers in WASHINGTON

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)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KATHLEEN ABALOS)

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
Common Therapeutic Classes:
  • 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 DescriptionState License & Primary Status
208M00000X — Hospitalist
Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist
State: MA | License: 263266 | Primary: Secondary
207R00000X — Internal Medicine
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: DC | License: MD045020 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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