NPIMap

Organization Active NPI

Haysam Akkad, MD, PC

  • Interventional Cardiology Physician
  • Omaha, NE
National Provider Identifier
1023258795
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
HAYSAM AKKAD, MD, PC
Practice address
4239 Farnam St
#100
Omaha, NE 68131-2868
Phone
(402) 552-2320
Fax
(402) 552-2330
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Haysam Akkad, M.D.NPI 1013997741
Title
President
Phone
(402) 552-2320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

4239 Farnam St
#100
Omaha, NE 68131-2868

Mailing address

4239 Farnam St
#100
Omaha, NE 68131-2868
Phone (402) 552-2320

Other names 1

  • Clarkson Heart Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090814000085 NE Part B Supplier - Clinic/Group Practice 2466506142 Receives reassigned benefits from 9 practitioners
Practice locations: Omaha, NE; Bellevue, NE
O20090923000024 IA Part B Supplier - Clinic/Group Practice 2466506142 Receives reassigned benefits from 2 practitioners
Practice locations: Shenandoah, IA; Hamburg, IA

National Provider Directory

National Provider Directory

Locations

300 Pershing Ave
#C
Shenandoah, IA 51601
Phone (712) 246-1230

2510 Bellevue Medical Center Dr
Ste 14
Bellevue, NE 68123

1103 Galvin Rd S
Ste G
Bellevue, NE 68005
Phone (402) 292-1072

987250 NE Med Ctr
Omaha, NE 68198

Practitioners & affiliated clinicians

Practitioners 87

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1023258795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 FARNAM ST",
            "address_2": "#100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312868",
            "telephone_number": "402-552-2320",
            "fax_number": "402-552-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 FARNAM ST",
            "address_2": "#100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312868",
            "telephone_number": "402-552-2320",
            "fax_number": "402-552-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYSAM AKKAD, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "AKKAD",
        "authorized_official_first_name": "HAYSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-552-2320",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarkson Heart Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.