Anthony N Akosa, MD
Individual provider Active NPI Family Medicine Physician · Indianapolis, IN
NPI 1295791200 · NPPES record last updated Dec 28, 2022
Key facts
- NPI
- 1295791200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01042627A (IN)
- Practice address
- 426 S Alabama St Ste 100
Indianapolis, IN 46225-3301 - Phone
- (317) 528-2489
- Fax
- (317) 528-3770
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franciscan Physician Network
Practice addresses (Care Compare)
426 S Alabama St
Suite 100
Indianapolis, IN 46225-3301
Phone (317) 528-2489
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100315000865 | IN | Practitioner - Family Practice | 5294860326 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01042627A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Family Medicine | Current |
Accepting new patients |
| Franciscan Physician Network | Current |
Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886
426 S Alabama St
Ste 100
Indianapolis, IN 46225
Phone (317) 528-2486
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- aakosa237597@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01069397A | IN | |
| Family Medicine Physician | 207Q00000X | 01042627A | IN | Yes |
Addresses
Primary practice location
426 S Alabama St Ste 100
Indianapolis, IN 46225-3301
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100340610 | Medicaid | IN | |
| 20105210 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aakosa237597@Direct.FranciscanAlliance.org | Direct |
Other providers in Indianapolis, IN
- Fatih Akisik
- Murad Akjah
- Kashyap Akkinapally
- Avinash Akkyr
- Jay Akolkar
- Christian Akotoye
- Oriri Zuriel Akpama
- Yao Apedoh Akpamagbo
- Eric Aksu
- Eyas Al Dailami
All providers in Indianapolis, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.