Eddie Akrout
Individual provider Active NPI Family Medicine Physician · Columbus, NJ
NPI 1013371632 · NPPES record last updated Dec 8, 2020
Key facts
- NPI
- 1013371632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25MB1449900 (NJ)
- Practice address
- 23203 Columbus Rd Ste I
Columbus, NJ 08022-1985 - Phone
- (609) 303-4450
- Fax
- (609) 303-4451
- NPI assigned
- Apr 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Capital Health Medical Group
Practice addresses (Care Compare)
23203 Columbus Rd
Suite 1
Columbus, NJ 08022-1984
Phone (609) 303-4450
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- Virtua Home Care at West Jersey
- Deborah Heart and Lung Center
- Capital Health Medical Center - Hopewell
- Robert Wood Johnson University Hospital at Hamilton
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.91 of 100
- Quality
- 79.42
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181213002644 | NJ | Practitioner - Family Practice | 3678818952 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB1449900 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Health Medical Group | Single Specialty | Current |
Accepting new patients |
| Capital Health Multispecialty Group | Single Specialty | Current |
Accepting new patients |
Locations
23203 Columbus Rd
Ste 1
Columbus, NJ 08022
Phone (609) 303-4450
23203 Columbus Rd
Ste I
Columbus, NJ 08022
Phone (609) 303-4450
1700 Nottingham Way
Ste 108
Hamilton, NJ 08619
Phone (609) 303-4870
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HBIHCA
- https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
- eddie.akrout.1@12833.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician |
207Q00000X | 25MB1449900 | NJ | Yes |
Addresses
Primary practice location
23203 Columbus Rd Ste I
Columbus, NJ 08022-1985
Mailing address
1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000
Other practice location 1
1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (856) 641-8000
Other practice location 2
1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (856) 641-8000
Other practice location 3
3 Elizabeth St
Millville, NJ 08332
Phone (856) 641-6272
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eddie.akrout@12833.direct.athenahealth.com |
Other providers in Columbus, NJ
- Advocare , LLC
- Advoserv of New Jersey, Inc.
- Annick Joseline Agah
- Nkiruka Gloria Agbazue-Udodi
- Sumiya Ahmed
- Rim Al-Bezem
- Matthew Robert Angradi
- Lisa Antas
- Robert Bruce Arthur Jr.
- Ashurst Family Physicians, PA
All providers in Columbus, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.