NPIMap

Individual provider Active NPI

Sergey Pavlovich Akimov, M.D.

  • Infectious Disease Physician
  • Naples, FL
National Provider Identifier
1316095565
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME138743 Issued in FL
Practice address
800 Goodlette Rd N Ste 370
Naples, FL 34102-5448
Phone
(239) 624-0800
Fax
(239) 624-9062
NPI assigned
Jan 6, 2007
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 36112645 IL
Infectious Disease Physician 207RI0200X ME138743 FL Primary

Addresses

Primary practice location

800 Goodlette Rd N Ste 370
Naples, FL 34102-5448

Mailing address

800 Goodlette Rd N Ste 370
Naples, FL 34102-5448
Phone (239) 624-0800

Other identifiers 2

IdentifierTypeStateIssuer
101720300MedicaidFL
D3LRHOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190114001685 FL Practitioner - Infectious Disease 9234238908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Associates of Naples LLCGroup PAC ID 5193107951, 3 clinicians

Practice addresses (Care Compare)

800 Goodlette Rd
Suite 370
Naples, FL 34102-5448
Phone (239) 347-4248

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36112645ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Associates of Naples LLC Infectious Disease CurrentSince Jul 1, 2022 Accepting new patients

Locations

800 Goodlette Rd
Ste 370
Naples, FL 34102
Phone (239) 347-4248

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sakimov18441@nchhealthcaresystem.direct-ci.com

Organizations & group practices 1

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 8

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": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1316095565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GOODLETTE RD N STE 370",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025448",
            "telephone_number": "239-624-0800",
            "fax_number": "239-624-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GOODLETTE RD N STE 370",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025448",
            "telephone_number": "239-624-0800",
            "fax_number": "239-624-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKIMOV",
        "first_name": "SERGEY",
        "middle_name": "PAVLOVICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "36112645",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME138743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101720300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "D3LRH",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.