MOHAMED ELAMIN OMER ABDALLA — NPI 1932024205 (Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) in DETROIT, MI)

CMS-1500 Box 24J / 33a • NPI

1932024205

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207RG0300X (CMS 11)

Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)

Box 32 Service Location & ZIP+4

4201 SAINT ANTOINE ST # 5C, DETROIT, MI, 48201-2153

✓ 9-Digit EDI 837 ZIP+4 (48201-2153)

Practice Phone & Referral Fax

(313) 577-5092

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1932024205 (MOHAMED ELAMIN OMER ABDALLA) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1932024205` (NPI-1 Individual Practitioner)
Provider / Legal Name	MOHAMED ELAMIN OMER ABDALLA
Plain-English Specialty	Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: `207RG0300X` (Internal Medicine, Geriatric Medicine)
Certifying / Licensing Body	American Board of Internal Medicine (ABIM)
Practice Location Address	4201 SAINT ANTOINE ST # 5C, DETROIT, MI, 48201-2153
Practice Telephone / Fax	Tel: (313) 577-5092
Administrative Mailing Address	1760 KIRTS BLVD APT 108, TROY, MI, 48084-4342
Enumeration & Last Sync	Enumerated: 2026-08-13 \| CMS Record Updated: 2026-08-22

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4201 SAINT ANTOINE ST # 5C, DETROIT, MI, 48201-2153

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Plain-English Taxonomy & CMS Crosswalk (207RG0300X)

What Does Taxonomy Code 207RG0300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RG0300X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 38 (Physician/Geriatric 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 (MOHAMED ELAMIN OMER ABDALLA)

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 Description	State License & Primary Status
`207RG0300X` — Internal Medicine, Geriatric Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: MI \| License: `4351057182` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MOHAMED ELAMIN OMER ABDALLA (NPI #1932024205)