Individual provider Active NPI

Charity Amba Kankam, MD

  • Nephrology Physician
  • Independence, OH
National Provider Identifier
1124017413
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35059430 Issued in OH
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0791657MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322001577 OH Practitioner - NephrologyPractitioner - Internal Medicine 0244121051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CDC Physicians Organization, Inc.Group PAC ID 8426140187, 9 clinicians

Practice addresses (Care Compare)

21245 Lorain Rd
Suite 206
Fairview Park, OH 44126-2140
Phone (440) 331-4294

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.56 of 100Reported as group
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

LicenseStateTypeSpecialty
35059430OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.