Individual provider Active NPI

Eddie Akrout

  • Family Medicine Physician
  • Columbus, NJ
National Provider Identifier
1013371632
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB1449900 Issued in 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
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 25MB1449900 NJ Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address eddie.akrout@12833.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181213002644 NJ Practitioner - Family Practice 3678818952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

23203 Columbus Rd
Suite 1
Columbus, NJ 08022-1984
Phone (609) 303-4450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB1449900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Multispecialty Group Single Specialty CurrentSince Jul 6, 2020 Accepting new patients
Capital Health Medical Group Single Specialty CurrentSince Oct 1, 2020 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

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

1700 Nottingham Way
Ste 108
Trenton, NJ 08619
Phone (609) 303-4870

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

Interoperability endpoints

  • Direct secure messaging: eddie.akrout.1@12833.direct.athenahealth.com
  • Direct secure messaging: eddie.akrout@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBIHCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1013371632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CAPITAL WAY",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342520",
            "telephone_number": "609-303-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23203 COLUMBUS RD STE I",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221985",
            "telephone_number": "609-303-4450",
            "fax_number": "609-303-4451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 W Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083607059",
            "country_code": "US",
            "telephone_number": "856-641-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 W Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083607059",
            "country_code": "US",
            "telephone_number": "856-641-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Millville",
            "state": "NJ",
            "postal_code": "08332",
            "country_code": "US",
            "telephone_number": "856-641-6272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKROUT",
        "first_name": "EDDIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-09",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB1449900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eddie.akrout@12833.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "23203 Columbus Rd Ste I",
            "city": "Columbus",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080221985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, NJ

Sources for this page

Verify at the official NPI Registry.