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
- 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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.
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.