Individual provider Active NPI

Riffat Akhtar, M.D.

  • Internal Medicine Physician
  • Pottsville, PA
National Provider Identifier
1295726305
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD059634L Issued in PA
Practice address
106 So Claude a. Lord Boulevard
Pottsville, PA 17901-3637
Phone
(570) 622-4209
Fax
(570) 622-1386
NPI assigned
Oct 31, 2005
Last updated
May 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD059634L PA Primary

Addresses

Primary practice location

106 So Claude a. Lord Boulevard
Pottsville, PA 17901-3637

Mailing address

106 So Claude a. Lord Boulevard
Pottsville, PA 17901-3637
Phone (570) 622-4209

Other identifiers 5

IdentifierTypeStateIssuer
014582OtherPAHIGHMARK
1651052MedicaidPA
50082265OtherPACAPITAL BLUE CROSS
1007288440033MedicaidPA
391893OtherPAFQHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050509000390 PA Practitioner - Internal Medicine 8224078316 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD059634LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Department of Public Welfare CurrentSince Jun 1, 2016 Accepting new patients
Pennsylvania Department of Human Services CurrentSince Jun 1, 2016 Accepting new patients

Locations

160 Main St
Wernersville, PA 19565
Phone (610) 670-4100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1295726305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SO CLAUDE A. LORD BOULEVARD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013637",
            "telephone_number": "570-622-4209",
            "fax_number": "570-622-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SO CLAUDE A. LORD BOULEVARD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013637",
            "telephone_number": "570-622-4209",
            "fax_number": "570-622-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHTAR",
        "first_name": "RIFFAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD059634L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "014582",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1651052",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50082265",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007288440033",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FQHC",
            "identifier": "391893",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.