Organization Active NPI

Yacht Haven Family Practice

Doing business as Red Hook Family Practice

  • Family Medicine Physician
  • St Thomas, VI
National Provider Identifier
1063695740
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1377 Issued in VI
Legal business name
YACHT HAVEN FAMILY PRACTICE
Doing business as
Red Hook Family Practice
Practice address
5302 Yacht Haven Grande
Box 48
St Thomas, VI 00802-5004
Phone
(340) 776-1511
NPI assigned
Dec 17, 2007
Last updated
Jun 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Dr. Siri Akal, M.D.NPI 1972568723
Title
Owner/President
Phone
(340) 775-2303

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1377 VI Primary

Addresses

Primary practice location

5302 Yacht Haven Grande
Box 48
St Thomas, VI 00802-5004

Mailing address

6500 Red Hook PLZ
Suite 205
St Thomas, VI 00802-1306
Phone (340) 775-2303

Other names 1

  • Red Hook Family Practice Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
48D1076688Yacht Haven Family Practice5302 Yacht Haven Grande Suite 124, St Thomas, VI 00802Certificate of waiverJul 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cruz Bay Family Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5302 Yacht Haven Grande
#125
St Thomas, VI 00802

5302 Yacht Haven Grande
#48
St Thomas, VI 00802
Phone (340) 776-1511

5302 Yacht Haven Grande
Ste 102
St Thomas, VI 00802
Phone (340) 227-1299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1063695740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 RED HOOK PLZ",
            "address_2": "SUITE 205",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008021306",
            "telephone_number": "340-775-2303",
            "fax_number": "340-779-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 YACHT HAVEN GRANDE",
            "address_2": "BOX 48",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008025004",
            "telephone_number": "340-776-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YACHT HAVEN FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "AKAL",
        "authorized_official_first_name": "SIRI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "340-775-2303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VI",
            "license": "1377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Hook Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.