Active NPI
Siddique Akbar, MD
- Nephrology Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD66895
- Practice address
- 2863 Highway 45 Byp
Jackson, TN 38305-3618 - Phone
- (731) 422-0213
- NPI assigned
- Feb 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD66895 | TN | Primary |
Addresses
Primary practice location
2863 Highway 45 Byp
Jackson, TN 38305-3618
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 425-5752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240111003971 | TN | Practitioner - Nephrology | 7214388479 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jackson Clinic PA
Practice addresses (Care Compare)
2863 Hwy 45 Byp
Jackson, TN 38305-3618
Phone (731) 664-1375
Hospital & facility affiliations
- DaVita Ripley Dialysis Center
- Dci Humboldt
- Dci Jackson
- RCG Martin
- DaVita North Jackson Dialysis
- Jackson-Madison County General Hospital
- Hardin Medical Center
- Dyersburg Regional Medical Center
- West Tennessee Healthcare Bolivar Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Clinic PA | Nephrology | Current | Accepting new patients |
| Jackson Clinic PA | Current | Accepting new patients |
Locations
87 Murray Guard Dr
Ste B
Jackson, TN 38305
Phone (731) 664-1375
2863 Highway 45 Byp
Jackson, TN 38305
Phone (731) 660-8300
149 Commons Dr
Martin, TN 38237
Interoperability endpoints
- siddiqueakbar@jcpa.allscriptsdirect.net
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.
-
- Durable Medical Equipment & Medical Supplies
- Jackson, TN
- NPI 1689443038
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Humboldt, TN
- NPI 1396778775
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jackson, TN
- NPI 1306874953
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Martin, TN
- NPI 1891807624
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ripley, TN
- NPI 1992946131
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jackson, TN
- NPI 1275596397
Dialysis facility
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1295290328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "JACKSON",
"state": "TN",
"postal_code": "383020400",
"telephone_number": "731-425-5752",
"fax_number": "731-425-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2863 HIGHWAY 45 BYP",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053618",
"telephone_number": "731-422-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKBAR",
"first_name": "SIDDIQUE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-03",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "MD66895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.