Individual provider Active NPI

Abiodun Mark Akanmode, MD

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
National Provider Identifier
1194469783
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Harlem Hospital Center
506 Lenox Avenue
New York, NY 10037
Phone
(212) 939-1000
Fax
(212) 939-1462
NPI assigned
Apr 21, 2022
Reactivated
Jan 24, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Harlem Hospital Center
506 Lenox Avenue
New York, NY 10037

Mailing address

Harlem Hospital Center
506 Lenox Avenue
New York, NY 10037
Phone (212) 939-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250618001807 IL Order and Referring Only - Infectious DiseasePractitioner - Internal MedicinePractitioner - Infectious Disease 8022529825

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: aakanmode187550@uihealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1194469783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HARLEM HOSPITAL CENTER",
            "address_2": "506 LENOX AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10037",
            "telephone_number": "212-939-1000",
            "fax_number": "212-939-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARLEM HOSPITAL CENTER",
            "address_2": "506 LENOX AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10037",
            "telephone_number": "212-939-1000",
            "fax_number": "212-939-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKANMODE",
        "first_name": "ABIODUN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-21",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "deactivation_date": "2023-01-18",
        "reactivation_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.