Individual provider Active NPI

Alexander Nathan Pontikos, M.D.

  • Gastroenterology Physician
  • Akron, OH
National Provider Identifier
1235523168
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35.142428 Issued in OH
Practice address
570 White Pond Dr Ste 200
Akron, OH 44320-4208
Phone
(330) 869-0954
NPI assigned
Mar 28, 2015
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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
Gastroenterology Physician 207RG0100X 35.142428 OH Primary

Addresses

Primary practice location

570 White Pond Dr Ste 200
Akron, OH 44320-4208

Mailing address

570 White Pond Dr Ste 200
Akron, OH 44320-4208
Phone (330) 869-0954

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
I20210730002088 OH Practitioner - Gastroenterology 2769782291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Virginia Commonwealth University, School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians
Gastroenterology Group IncGroup PAC ID 0244228518, 12 clinicians

Practice addresses (Care Compare)

155 5TH St NE
Barberton, OH 44203-3332

525 E Market St
Akron, OH 44304-1619

570 White Pond Dr
Suite 150
Akron, OH 44320-4208
Phone (330) 869-0954

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy121
Upper gastrointestinal (GI) endoscopy for acid reflux86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Jul 26, 2021 Accepting new patients
Summa Physicians LLC CurrentSince Jul 26, 2021 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Gastroenterology Group Inc CurrentSince Jul 16, 2021 Accepting new patients
Akron Digestive Disease Consultants, Inc Gastroenterology PastSince Jul 16, 2021 Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

570 White Pond Dr
Ste 200
Akron, OH 44320

570 White Pond Dr
Ste 150
Akron, OH 44320
Phone (330) 869-0173

155 5th St NE
Barberton, OH 44203
Phone (330) 615-3000

6724 Wales Ave NW
Massillon, OH 44646
Phone (330) 837-4264

3780 Medina Rd
Medina, OH 44256
Phone (216) 406-4323

195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1235523168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 WHITE POND DR STE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204208",
            "telephone_number": "330-869-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 WHITE POND DR STE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204208",
            "telephone_number": "330-869-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTIKOS",
        "first_name": "ALEXANDER",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-28",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35.142428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.