Individual provider Active NPI

Akeem Olasunkanmi Kareem

  • Family Nurse Practitioner
  • Gary, IN
National Provider Identifier
1124566427
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28198388A Issued in IN
Practice address
1100 W 6TH Ave
Gary, IN 46402-1711
Phone
(219) 885-4264
NPI assigned
Feb 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28198388A IN Primary

Addresses

Primary practice location

1100 W 6TH Ave
Gary, IN 46402-1711

Mailing address

1100 W 6TH Ave
Gary, IN 46402-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171025003270 IN Practitioner - Nurse Practitioner 6901172550 Reassigns benefits to 3 organizations
I20230522002294 IL Practitioner - Nurse Practitioner 6901172550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hessed Healthcare PCGroup PAC ID 4385172055, 2 clinicians
Uziel Shefa Medical SCGroup PAC ID 4082158118, 7 clinicians

Practice addresses (Care Compare)

5164 E 81St Ave
Suite 298
Merrillville, IN 46410-5852
Phone (310) 933-5688

5454 Fargo Ave
Suite 107
Skokie, IL 60077-3210
Phone (310) 933-5688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28198388AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Briyot Healthcare PC CurrentSince May 31, 2024 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince May 2, 2022 Accepting new patients
Hessed Healthcare PC CurrentSince Nov 3, 2024 Accepting new patients
Uziel Shefa Medical SC CurrentSince Jun 3, 2024 Accepting new patients
Divine Wound Specialist L.L.C Current Accepting new patients
Shefah Healthcare SC CurrentSince Jun 3, 2024 Accepting new patients
Refana Health SC CurrentSince Jan 25, 2026 Accepting new patients
Daniel B Grossman M D Inc PastSince Jun 21, 2022 Accepting new patients

Locations

5454 Fargo Ave
Ste 107
Skokie, IL 60077

101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808

150 Beechmont Dr NE
Corydon, IN 47112
Phone (812) 738-0550

2640 Cold Spring Rd
#A
Indianapolis, IN 46222
Phone (315) 909-1540

5164 E 81st Ave
Merrillville, IN 46410
Phone (219) 798-4106

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1124566427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W 6TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W 6TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021711",
            "telephone_number": "219-885-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAREEM",
        "first_name": "AKEEM",
        "middle_name": "OLASUNKANMI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-07",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28198388A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.