Active NPI
Charity Amba Kankam, MD
- Nephrology Physician
- Independence, OH
National Provider Identifier
1124017413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35059430
- Practice address
- 6701 Rockside Rd
Ste 365
Independence, OH 44131-2316 - Phone
- (216) 901-5706
- Fax
- (216) 901-6201
- NPI assigned
- Oct 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35059430 | OH | Primary |
Addresses
Primary practice location
6701 Rockside Rd
Ste 365
Independence, OH 44131-2316
Mailing address
6701 Rockside Rd
Ste 365
Independence, OH 44131-2316
Phone (216) 901-5706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0791657 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21245 Lorain Rd
Suite 206
Fairview Park, OH 44126-2140
Phone (440) 331-4294
Hospital & facility affiliations
- South Pointe Hospital
- Marymount Hospital
- Fairview Hospital
- Select Specialty Hospital- Cleveland Fairhill
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.56 of 100
- Quality
- 73.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35059430 | OH | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients |
Interoperability endpoints
- ckankam32708@direct.ccf.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 and National Provider Directory roles.
-
- Nephrology Physician
- Shaker Heights, OH
- NPI 1073682209
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warrensville Heights, OH
- NPI 1235183542
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- General Acute Care Hospital
- Garfield Heights, OH
- NPI 1942248737
-
- Long Term Care Hospital
- Cleveland, OH
- NPI 1063871820
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124017413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 ROCKSIDE RD",
"address_2": "STE 365",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312316",
"telephone_number": "216-901-5706",
"fax_number": "216-901-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 ROCKSIDE RD",
"address_2": "STE 365",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312316",
"telephone_number": "216-901-5706",
"fax_number": "216-901-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANKAM",
"first_name": "CHARITY",
"middle_name": "AMBA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "35059430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0791657",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- 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.