Active NPI
Naeem Akhtar MD Inc
- Medical Specialty Clinic/Center
- Madera, CA
National Provider Identifier
1154401347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 00A450510
- Legal business name
- NAEEM AKHTAR MD INC
- Practice address
- 451 E Almond Ave Ste 103
Madera, CA 93637-5562 - Phone
- (559) 673-4000
- NPI assigned
- Oct 16, 2006
- Last updated
- Aug 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Coralie Bohnisch
- Title
- Manager
- Phone
- (559) 673-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 00A450510 | CA | Primary |
Addresses
Primary practice location
451 E Almond Ave Ste 103
Madera, CA 93637-5562
Mailing address
451 E Almond Ave Ste 103
Madera, CA 93637-5562
Phone (559) 673-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A450510 | Medicaid | CA |
Other names 1
- NAEEM AKHTAR, MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2250586 | Naeem Akhtar MD Inc | Compliance | Nov 5, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Madera, CA
- NPI 1831291863
-
- Physician Assistant
- Madera, CA
- NPI 1588698112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598313600000",
"number": "1154401347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 E ALMOND AVE STE 103",
"city": "MADERA",
"state": "CA",
"postal_code": "936375562",
"telephone_number": "559-673-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 E ALMOND AVE STE 103",
"city": "MADERA",
"state": "CA",
"postal_code": "936375562",
"telephone_number": "559-673-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAEEM AKHTAR MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A",
"authorized_official_last_name": "BOHNISCH",
"authorized_official_first_name": "CORALIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "559-673-4000",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "00A450510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A450510",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NAEEM AKHTAR, MD",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "NAEEM AKHTAR, MD",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.