✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207R00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

ABHIJIT A ADHYE, M.D. (NPI #1992763205)

Internal Medicine • NAPA, CA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1992763205
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207R00000X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
1100 TRANCAS ST STE 211, NAPA, CA, 94558-2909
✓ 9-Digit EDI 837 ZIP+4 (94558-2909)
Practice Phone & Referral Fax
Fax: (707) 637-4186
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1992763205 (ABHIJIT A ADHYE, M.D.) 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 #1992763205)

Medicare Beneficiaries
543
Total Billed Services
2,770
Distinct CPT/HCPCS Codes
56
Medicare Allowed Total
$214,769.40

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
90653 Influenza vaccine, inactivated30
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more49
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more186
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more365
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more44

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Acyclovir
Acyclovir
15<11
Albuterol Sulfate Hfa
Albuterol Sulfate
4822
Alendronate Sodium
Alendronate Sodium
7125
Allopurinol
Allopurinol
5620
Alprazolam
Alprazolam
1712
Amlodipine Besylate
Amlodipine Besylate
14451
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
2019
Atenolol
Atenolol
12<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1992763205 (NPI-1 Individual Practitioner)
Provider / Legal NameABHIJIT A ADHYE, M.D.
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207R00000X (Internal Medicine)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address1100 TRANCAS ST STE 211, NAPA, CA, 94558-2909
Practice Telephone / FaxTel: (707) 637-4108 | Fax: (707) 637-4186
Administrative Mailing Address1100 TRANCAS ST STE 211, NAPA, CA, 94558-2909
Enumeration & Last SyncEnumerated: 2006-05-03 | CMS Record Updated: 2024-11-12

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1100 TRANCAS ST STE 211, NAPA, CA, 94558-2909

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Plain-English Taxonomy & CMS Crosswalk (207R00000X)

What Does Taxonomy Code 207R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal 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 (ABHIJIT A ADHYE, M.D.)

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 DescriptionState License & Primary Status
2083B0002X — Preventive Medicine, Obesity Medicine
Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine — Obesity Medicine
State: CA | License: A94870 | Primary: Secondary
207R00000X — Internal Medicine
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: CA | License: A94870 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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