CMS-1500 Box 24J / 33a • NPI
1972097848
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207PP0204X (CMS 93)
Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)
Box 32 Service Location & ZIP+4
550 N HILLSIDE ST, WICHITA, KS, 67214-4976
✓ 9-Digit EDI 837 ZIP+4 (67214-4976)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1972097848 (KEISUKE ABE) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1972097848 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KEISUKE ABE |
| Plain-English Specialty | Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) NUCC Code: 207PP0204X (Emergency Medicine, Pediatric Emergency Medicine) |
| Certifying / Licensing Body | American Board of Emergency Medicine (ABEM) |
| Practice Location Address | 550 N HILLSIDE ST, WICHITA, KS, 67214-4976 |
| Practice Telephone / Fax | Tel: (316) 962-2000 |
| Administrative Mailing Address | 550 N HILLSIDE ST, WICHITA, KS, 67214-4910 |
| Enumeration & Last Sync | Enumerated: 2018-06-14 | CMS Record Updated: 2024-10-04 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207PP0204X)
What Does Taxonomy Code 207PP0204X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207PP0204X translates to:
"Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KEISUKE ABE)
Typical CPT / Diagnostic Procedures:- Level 4 & Level 5 Emergency Department Resuscitation (CPT 99284–99285)
- Point-of-Care Emergency Ultrasound (eFAST), Intubation & Central Line Placement
- Acute Laceration Repair, Tetanus Prophylaxis & Fracture Splinting
- Epinephrine Auto-Injectors / IV Infusions, Atropine & Amiodarone
- Tetanus Toxoid / Tdap & Tetanus Immunoglobulin (TIG)
- Empiric Sepsis Antibiotics, Parenteral Ketorolac & Ondansetron
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207P00000X — Emergency MedicinePlain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) | State: KS | License: 04-48472 | Primary: Secondary |
207PP0204X — Emergency Medicine, Pediatric Emergency MedicinePlain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) | State: KS | License: 04-48472 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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