CMS-1500 Box 24J / 33a • NPI
1912641820
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
390200000X
Licensed & Credentialed Student in an Organized Health Care Education/Training Program
Box 32 Service Location & ZIP+4
1000 ASYLUM AVE RM 1004, HARTFORD, CT, 06105-1701
✓ 9-Digit EDI 837 ZIP+4 (06105-1701)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1912641820 (AHMED ABDELWAHED, 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
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1912641820)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amlodipine Besylate Amlodipine Besylate | 15 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 16 | 12 |
| Losartan Potassium Losartan Potassium | 11 | <11 |
| Pantoprazole Sodium Pantoprazole Sodium | 21 | 11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1912641820 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AHMED ABDELWAHED, MD |
| Plain-English Specialty | Licensed & Credentialed Student in an Organized Health Care Education/Training Program NUCC Code: 390200000X (Student in an Organized Health Care Education/Training Program) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1000 ASYLUM AVE RM 1004, HARTFORD, CT, 06105-1701 |
| Practice Telephone / Fax | Tel: (860) 714-4532 |
| Administrative Mailing Address | 263 FARMINGTON AVE, FARMINGTON, CT, 06030-1921 |
| Enumeration & Last Sync | Enumerated: 2022-04-26 | CMS Record Updated: 2022-04-26 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (390200000X)
What Does Taxonomy Code 390200000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 390200000X translates to:
"Licensed & Credentialed Student in an Organized Health Care Education/Training Program"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AHMED ABDELWAHED, 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 |
|---|---|
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: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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