Individual provider Active NPI

William Akwasi Ankobiah, MD, FACP, FCCP

  • Pulmonary Disease Physician
  • Baldwin, NY
National Provider Identifier
1386661163
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
171192-8W Issued in NY
Practice address
3342 Milburn Ave
Baldwin, NY 11510-5147
Phone
(516) 868-9595
Fax
(516) 868-9494
NPI assigned
Jul 16, 2006
Last updated
Jun 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 171192 NY
Pulmonary Disease Physician 207RP1001X 171192-8W NY Primary
Hospitalist Physician 208M00000X 27059 KY

Addresses

Primary practice location

3342 Milburn Ave
Baldwin, NY 11510-5147

Mailing address

3342 Milburn Ave
Baldwin, NY 11510-5147
Phone (516) 868-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20180328001579 MO Practitioner - Pulmonary Disease 2264339605 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
171192-8WNYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Missouri Hospital Physicians, LLC Pulmonary Disease CurrentSince Aug 14, 2018 Accepting new patients
Dwayne E. Rollins, MD, PC Past Accepting new patients
Mannvin Medical PC Past Accepting new patients
Elmhurst Medical Office,PLLC. Internal Medicine PastSince Nov 1, 2007 Accepting new patients
Doshi Diagnostic Imaging Services PC Past Accepting new patients

Locations

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJHFBA

Organizations & group practices 5

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1386661163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3342 MILBURN AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105147",
            "telephone_number": "516-868-9595",
            "fax_number": "516-868-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3342 MILBURN AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105147",
            "telephone_number": "516-868-9595",
            "fax_number": "516-868-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKOBIAH",
        "first_name": "WILLIAM",
        "middle_name": "AKWASI",
        "name_prefix": "Dr.",
        "credential": "MD, FACP, FCCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "171192",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "171192-8W",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "27059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.