CMS-1500 Box 24J / 33a • NPI
1962688853
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207SG0201X (CMS D3)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Clinical Genetics
Box 32 Service Location & ZIP+4
4760 W SUNSET BLVD, LOS ANGELES, CA, 90027-6063
✓ 9-Digit EDI 837 ZIP+4 (90027-6063)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1962688853 (SRIDEVI ABBOY, 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
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
No
Hospice Referring
✓ Eligible
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1962688853 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SRIDEVI ABBOY, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Clinical Genetics NUCC Code: 207SG0201X (Medical Genetics, Clinical Genetics (M.D.)) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4760 W SUNSET BLVD, LOS ANGELES, CA, 90027-6063 |
| Practice Telephone / Fax | Tel: (323) 783-4011 |
| Administrative Mailing Address | 4760 W SUNSET BLVD, LOS ANGELES, CA, 90027-6063 |
| Enumeration & Last Sync | Enumerated: 2008-01-10 | CMS Record Updated: 2021-11-29 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207SG0201X)
What Does Taxonomy Code 207SG0201X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207SG0201X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Clinical Genetics"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SRIDEVI ABBOY, 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 |
|---|---|
207SG0201X — Medical Genetics, Clinical Genetics (M.D.)Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Clinical Genetics | State: CA | License: A88483 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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