Individual provider Active NPI

Akanksha Thakkar

  • Interventional Cardiology Physician
  • Hazard, KY
National Provider Identifier
1174907752
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
56903 Issued in KY
Practice address
200 Medical Center Dr
Hazard, KY 41701-9466
Phone
(606) 487-7510
Fax
(606) 487-6793
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 56903 KY Primary

Addresses

Primary practice location

200 Medical Center Dr
Hazard, KY 41701-9466

Mailing address

100 Medical Center Dr
Hazard, KY 41701-9421
Phone (606) 439-6600

Other practice location 1

210 Black Gold Blvd
Hazard, KY 41701-2620
Phone (606) 487-7000

Other practice location 2

6550 Fannin
Smith 1901
Houston, TX 77030-2717
Phone (713) 441-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241213000095 OH Practitioner - Interventional Cardiology 3779983762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

955 Bethesda Dr
FL 1
Zanesville, OH 43701-1873
Phone (740) 454-0804

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group LLC Single Specialty CurrentSince Jan 27, 2025 Accepting new patients
Genesis Medical Group, LLC CurrentSince Jan 27, 2025 Accepting new patients

Locations

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

955 Bethesda Dr
Fl 1
Zanesville, OH 43701
Phone (740) 454-0804

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

Interoperability endpoints

  • Direct secure messaging: athakkar20446@directhoustonmethodist.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1174907752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019421",
            "telephone_number": "606-439-6600",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-487-7510",
            "fax_number": "606-487-6793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Black Gold Blvd",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "417012620",
            "country_code": "US",
            "telephone_number": "606-487-7000",
            "fax_number": "606-487-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6550 Fannin",
            "address_2": "Smith 1901",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302717",
            "country_code": "US",
            "telephone_number": "713-441-1100",
            "fax_number": "713-790-2643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "AKANKSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "56903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.