Organization Active NPI

Goodfaith Medical-Emmanuel Akinyemi MD-PA

  • Infectious Disease Physician
  • Harlingen, TX
National Provider Identifier
1164729810
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
N4242 Issued in TX
Legal business name
GOODFAITH MEDICAL-EMMANUEL AKINYEMI MD-PA
Practice address
1806 Runnels Street
Harlingen, TX 78550-8288
Phone
(956) 230-3181
Fax
(956) 230-3182
NPI assigned
Feb 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Emmanuel Akinyemi, MDNPI 1477740405
Title
President
Phone
(956) 238-7888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X N4242 TX Primary

Addresses

Primary practice location

1806 Runnels Street
Harlingen, TX 78550-8288

Mailing address

1806 Runnels Street
Harlingen, TX 78550-8288
Phone (956) 230-3181

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110802000364 TX Part B Supplier - Clinic/Group Practice 0042489429 Receives reassigned benefits from 4 practitioners
Practice locations: Harlingen, TX
O20240422002827 TX DME Supplier - Physician - Infectious Disease 0042489429 Practice locations: Harlingen, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1164729810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 RUNNELS STREET",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508288",
            "telephone_number": "956-230-3181",
            "fax_number": "956-230-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 RUNNELS STREET",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508288",
            "telephone_number": "956-230-3181",
            "fax_number": "956-230-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODFAITH MEDICAL-EMMANUEL AKINYEMI MD-PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "AKINYEMI",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-238-7888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "N4242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.