Organization Active NPI

Naeem Akhtar MD Inc

  • Medical Specialty Clinic/Center
  • Madera, CA
National Provider Identifier
1154401347
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
00A450510 Issued in CA
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A450510MedicaidCA

Other names 1

  • NAEEM AKHTAR, MD Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090311000328 CA Part B Supplier - Clinic/Group Practice 8729144050 Receives reassigned benefits from 3 practitioners
Practice locations: Fresno, CA; Madera, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2250586Naeem Akhtar MD Inc451 E Almond Ave Ste 103, Madera, CA 93637ComplianceNov 5, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.