CMS-1500 Box 24J / 33a • NPI
1831694793
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207L00000X (CMS 05)
Board-Certified Anesthesiologist & Interventional Pain Specialist
Box 32 Service Location & ZIP+4
22 BRAMHALL ST, PORTLAND, ME, 04102-3175
✓ 9-Digit EDI 837 ZIP+4 (04102-3175)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1831694793 (RUSLAN ABDUKALIKOV, DO) 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 #1831694793)
Medicare Beneficiaries
177
Total Billed Services
432
Distinct CPT/HCPCS Codes
50
Medicare Allowed Total
$28,779.57
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
00104 | Anesthesia for electroshock therapy | 208 |
01810 | Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | 11 |
01940 | Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 26 |
27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 13 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 14 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 15 |
99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 13 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1831694793 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | RUSLAN ABDUKALIKOV, DO |
| Plain-English Specialty | Board-Certified Anesthesiologist & Interventional Pain Specialist NUCC Code: 207L00000X (Anesthesiology) |
| Certifying / Licensing Body | American Board of Anesthesiology (ABA) |
| Practice Location Address | 22 BRAMHALL ST, PORTLAND, ME, 04102-3175 |
| Practice Telephone / Fax | Tel: (207) 662-0111 |
| Administrative Mailing Address | 22 BRAMHALL ST, PORTLAND, ME, 04102-3175 |
| Enumeration & Last Sync | Enumerated: 2018-03-23 | CMS Record Updated: 2022-06-21 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207L00000X)
What Does Taxonomy Code 207L00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207L00000X translates to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (RUSLAN ABDUKALIKOV, DO)
Typical CPT / Diagnostic Procedures:- General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
- Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
- Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks
- Propofol, Sevoflurane, Rocuronium & Sugammadex
- Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
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 |
207L00000X — AnesthesiologyPlain English: Board-Certified Anesthesiologist & Interventional Pain Specialist | State: ME | License: DO3378 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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