Individual provider Active NPI

Tamera Hannadee Akarah, MD

  • Family Medicine Physician
  • Clinton Township, MI
National Provider Identifier
1306294129
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301500379 Issued in MI
Practice address
37399 Garfield Rd Ste 203
Clinton Township, MI 48036-3672
Phone
(586) 228-2911
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125.068695 IL
Family Medicine Physician 207Q00000X 4301500379 MI Primary

Addresses

Primary practice location

37399 Garfield Rd Ste 203
Clinton Township, MI 48036-3672

Mailing address

37399 Garfield Rd Ste 203
Clinton TWP, MI 48036-3672
Phone (586) 228-2911

Other practice location 1

2650 Ridge Ave
Suite 1304
Evanston, IL 60201-1718
Phone (847) 657-1820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20241113003954 AK Practitioner - Family Practice 0143511709 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301500379MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation Current Accepting new patients
Norton Sound Health Corporation Family Medicine CurrentSince Oct 9, 2024 Accepting new patients
Norton Sound Health Corporation CurrentSince Oct 9, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: takarah@direct.nshcorp.org

Organizations & group practices 3

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1306294129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD RD STE 203",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363672",
            "telephone_number": "586-228-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37399 GARFIELD RD STE 203",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363672",
            "telephone_number": "586-228-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Ridge Ave",
            "address_2": "Suite 1304",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602011718",
            "country_code": "US",
            "telephone_number": "847-657-1820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKARAH",
        "first_name": "TAMERA",
        "middle_name": "HANNADEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.068695",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301500379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.