CMS-1500 Box 24J / 33a • NPI
1841428042
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363AS0400X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical
Box 32 Service Location & ZIP+4
354 SANTA FE DR, ENCINITAS, CA, 92024-5142
✓ 9-Digit EDI 837 ZIP+4 (92024-5142)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1841428042 (SAM ALKASS, PA) 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
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1841428042)
Medicare Beneficiaries
61
Total Billed Services
676
Distinct CPT/HCPCS Codes
6
Medicare Allowed Total
$64,146.69
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 272 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 301 |
99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 13 |
99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 22 |
G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi | 20 |
G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 12 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Lisinopril Lisinopril | 12 | <11 |
| Metformin Hcl Metformin Hcl | 15 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1841428042 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SAM ALKASS, PA |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical NUCC Code: 363AS0400X (Physician Assistant, Surgical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 354 SANTA FE DR, ENCINITAS, CA, 92024-5142 |
| Practice Telephone / Fax | Tel: (858) 775-3113 |
| Administrative Mailing Address | 3525 DEL MAR HEIGHTS RD, SAN DIEGO, CA, 92130-2122 |
| Enumeration & Last Sync | Enumerated: 2009-06-25 | CMS Record Updated: 2024-03-15 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363AS0400X)
What Does Taxonomy Code 363AS0400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AS0400X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SAM ALKASS, PA)
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 |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: CA | License: PA20138 | Primary: Secondary |
363AS0400X — Physician Assistant, SurgicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical | State: CA | License: PA20138 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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