Individual provider Active NPI

Anand D Kantak, MD

  • Neonatal-Perinatal Medicine Physician
  • Akron, OH
National Provider Identifier
1205932142
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
35046025 Issued in OH
Practice address
300 Locust Street
Suite 540
Akron, OH 44302-1809
Phone
(330) 543-8348
Fax
(330) 543-8356
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 35046025 OH Primary

Addresses

Primary practice location

300 Locust Street
Suite 540
Akron, OH 44302-1809

Mailing address

300 Locust Street
Suite 540
Akron, OH 44302-1809
Phone (330) 543-8348

Other identifiers 1

IdentifierTypeStateIssuer
0461021MedicaidOH

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713000503 OH Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3779766290

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Ohio Corp Neonatal-Perinatal Medicine Past Accepting new patients
Akron Neonatology Inc Neonatal-Perinatal Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205932142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LOCUST STREET",
            "address_2": "SUITE 540",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021809",
            "telephone_number": "330-543-8348",
            "fax_number": "330-543-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LOCUST STREET",
            "address_2": "SUITE 540",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021809",
            "telephone_number": "330-543-8348",
            "fax_number": "330-543-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTAK",
        "first_name": "ANAND",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "OH",
            "license": "35046025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0461021",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.