Individual provider Active NPI

Khadija Akter

  • Internal Medicine Physician
  • Chittenango, NY
National Provider Identifier
1174332365
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P133124 Issued in NY
Practice address
331 Russell St
Chittenango, NY 13037-1201
Phone
(315) 725-7573
NPI assigned
Jan 2, 2025
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P133124 NY Primary

Addresses

Primary practice location

331 Russell St
Chittenango, NY 13037-1201

Mailing address

301 Sugarloaf TRL Apt 1206
Fairview, TX 75069-7487
Phone (469) 588-1501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312000898 NY Practitioner - Internal Medicine 6103347794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mill Basin Medical Health PC Internal Medicine CurrentSince Mar 10, 2025 Accepting new patients
Blossom Health Care Center, Inc. Past Accepting new patients

Locations

257 State St
Batavia, NY 14020
Phone (585) 343-1300

1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724

331 Russell St
Chittenango, NY 13037
Phone (315) 510-6400

48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (315) 272-0248

989 Blossom Rd
Rochester, NY 14610
Phone (585) 482-3500

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1174332365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SUGARLOAF TRL APT 1206",
            "city": "FAIRVIEW",
            "state": "TX",
            "postal_code": "750697487",
            "telephone_number": "469-588-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 RUSSELL ST",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "130371201",
            "telephone_number": "315-725-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKTER",
        "first_name": "KHADIJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P133124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chittenango, NY

Sources for this page

Verify at the official NPI Registry.