Active NPI
Kathleen M Akgun, M.D.
- Internal Medicine Physician
- New Haven, CT
National Provider Identifier
1114009917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 043889
- Practice address
- 789 Howard Ave
Yale Physicians BLDG 2ND FLR
New Haven, CT 06519-1304 - Phone
- (203) 785-4198
- Fax
- (203) 737-5453
- NPI assigned
- Oct 20, 2006
- Last updated
- Jul 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 043889 | CT | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 043889 | CT | |
| Pulmonary Disease Physician | 207RP1001X | 043889 | CT |
Addresses
Primary practice location
789 Howard Ave
Yale Physicians BLDG 2ND FLR
New Haven, CT 06519-1304
Mailing address
PO Box 9805
300 George Street 6TH Floor
New Haven, CT 06536-0805
Phone (203) 785-7998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043889 | CT | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Internal Medicine | Current | Accepting new patients |
| Yale University | Current | Accepting new patients |
Locations
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
Interoperability endpoints
- kakgun8092@direct.ynhh.org
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.
-
dba Yale Medicine
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217203200000",
"number": "1114009917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9805",
"address_2": "300 GEORGE STREET 6TH FLOOR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065360805",
"telephone_number": "203-785-7998",
"fax_number": "203-785-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 HOWARD AVE",
"address_2": "YALE PHYSICIANS BLDG 2ND FLR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191304",
"telephone_number": "203-785-4198",
"fax_number": "203-737-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKGUN",
"first_name": "KATHLEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2008-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "043889",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CT",
"license": "043889",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CT",
"license": "043889",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.