Rabia Akbar, MD

Individual provider Active NPI Pediatrics Physician · Trenton, MI

NPI 1114149283 · NPPES record last updated Nov 15, 2022

Key facts

NPI
1114149283
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
35096044 (OH)
Practice address
2363 W Jefferson Ave Ste 100
Trenton, MI 48183-2705
Phone
(734) 676-2800
Fax
(734) 676-4418
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in OH, MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150507001190 OH Practitioner - Pediatric Medicine 6406175736 Reassigns benefits to 1 organization
I20230209000462 MI Practitioner - Pediatric Medicine 6406175736 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125-052124ILMDPediatrics Physician
4301500768MIMDPediatrics Physician
35096044OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions LLC Current
since Mar 30, 2015
Accepting new patients
Incare Health Solutions, LLC Current
since Mar 30, 2015
Accepting new patients
Beaumont Medical Group Hospital -Based Services Current
since Nov 14, 2022
Accepting new patients
Watch US Grow Pediatrics PC Pediatrics Past
since Jan 26, 2022
Accepting new patients
Susan B Chamberlain MD PC Pediatrics Past
since Jan 26, 2022
Accepting new patients

Locations

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

175 Edgefield Blvd
Marion, OH 43302
Phone (740) 751-6433

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

Interoperability endpoints

  • Direct secure messaging: rakbar@watchusgrow.opdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125-052124 IL
Pediatrics Physician 208000000X 4301500768 MI
Pediatrics Physician 208000000X 35096044 OH Yes

Addresses

Primary practice location

2363 W Jefferson Ave Ste 100
Trenton, MI 48183-2705

Mailing address

2200 Jefferson Ave FL 5
Toledo, OH 43604-7103

Other practice location 1

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address rakbar1362461@direct.beaumont.edu

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 15, 2022.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1114149283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE FL 5",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 W JEFFERSON AVE STE 100",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832705",
            "telephone_number": "734-676-2800",
            "fax_number": "734-676-4418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18101 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "313-593-7000",
            "fax_number": "734-446-9750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKBAR",
        "first_name": "RABIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125-052124",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301500768",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35096044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rakbar1362461@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "18101 Oakwood Blvd",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481244089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trenton, MI

All providers in Trenton, MI · Pediatrics Physician in Michigan

Sources for this page

Verify at the official NPI Registry.