CMS-1500 Box 24J / 33a • NPI
1972703536
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RI0011X (CMS C3)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
3303 S BOND AVE, PORTLAND, OR, 97239-4501
✓ 9-Digit EDI 837 ZIP+4 (97239-4501)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1972703536 (AMGED ABDELMONIM TAGELSIR ABDELAZIZ, 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
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1972703536)
Medicare Beneficiaries
556
Total Billed Services
1,970
Distinct CPT/HCPCS Codes
68
Medicare Allowed Total
$202,123.52
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 13 |
92928 | Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch | 15 |
92978 | Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel | 13 |
93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 15 |
93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 15 |
93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 59 |
93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 49 |
93458 | Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist | 32 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amiodarone Hcl Amiodarone Hcl | 14 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 74 | 39 |
| Atorvastatin Calcium Atorvastatin Calcium | 140 | 64 |
| Brilinta Ticagrelor | 24 | <11 |
| Bumetanide Bumetanide | 14 | <11 |
| Carvedilol Carvedilol | 75 | 32 |
| Cilostazol Cilostazol | 21 | <11 |
| Clopidogrel Clopidogrel Bisulfate | 115 | 50 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1972703536 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AMGED ABDELMONIM TAGELSIR ABDELAZIZ, MD |
| Plain-English Specialty | Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: 207RI0011X (Internal Medicine, Interventional Cardiology) |
| Certifying / Licensing Body | American Board of Internal Medicine (ABIM) |
| Practice Location Address | 3303 S BOND AVE, PORTLAND, OR, 97239-4501 |
| Practice Telephone / Fax | Tel: (503) 494-1775 | Fax: (503) 494-4749 |
| Administrative Mailing Address | 3303 S BOND AVE, PORTLAND, OR, 97239-4501 |
| Enumeration & Last Sync | Enumerated: 2007-07-23 | CMS Record Updated: 2026-04-21 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RI0011X)
What Does Taxonomy Code 207RI0011X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RI0011X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AMGED ABDELMONIM TAGELSIR ABDELAZIZ, MD)
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
- 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 |
|---|---|
207RC0000X — Internal Medicine, Cardiovascular DiseasePlain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist) | State: MI | License: 4301090853 | Primary: Secondary |
207RI0011X — Internal Medicine, Interventional CardiologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: MI | License: 4301090853 | Primary: Secondary |
207RC0000X — Internal Medicine, Cardiovascular DiseasePlain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist) | State: OR | License: MD212152 | Primary: Secondary |
207RI0011X — Internal Medicine, Interventional CardiologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: NM | License: MD2026-0310 | Primary: Secondary |
207RI0011X — Internal Medicine, Interventional CardiologyPlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: OR | License: MD212152 | Primary: Yes (Primary) |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: OR | License: MD212152 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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