Organization Active NPI

M. Nayeem Akhtar, M.D., P.C.

  • Gastroenterology Physician
  • Sunbury, PA
National Provider Identifier
1396751913
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD047557L Issued in PA
Legal business name
M. NAYEEM AKHTAR, M.D., P.C.
Practice address
329 Arch St
Sunbury, PA 17801-2212
Phone
(570) 286-4200
Fax
(570) 286-4029
NPI assigned
Aug 1, 2006
Last updated
Mar 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Mrs. Kelly Crissinger
Title
Office Manager
Phone
(570) 286-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X MD047557L PA Primary

Addresses

Primary practice location

329 Arch St
Sunbury, PA 17801-2212

Mailing address

329 Arch St
Sunbury, PA 17801-2212
Phone (570) 286-4200

Other identifiers 15

IdentifierTypeStateIssuer
0007682100003MedicaidPA
071904OtherPAHIGHMARK BS IND. NUMBER
7991768OtherPAGATEWAY HEALTH PLAN #
P00257241OtherPARAILROAD MEDICARE IND. #
1386458OtherPAHIGHMARK BS GROUP NUMBER
50053124OtherPACAPITAL BC IND. NUMBER
02882100OtherPACAPITAL BC GROUP NUMBER
01018301OtherPACAPITAL BC IND. NUMBER
2830222OtherPAAETNA INDIVIDUAL NUMBER
742235OtherPAHIGHMARK BS IND. NUMBER
20558-1012OtherPAGEISINGER IND. NUMBER
5549161OtherPAAETNA INDIVIDUAL NUMBER
8722-1012OtherPAGEISINGER IND. NUMBER
0019133700004MedicaidPA
100016274OtherPARAILROAD MEDICARE IND. #

National Provider Directory

National Provider Directory

Locations

329 Arch St
Sunbury, PA 17801
Phone (570) 286-4200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1396751913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 ARCH ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012212",
            "telephone_number": "570-286-4200",
            "fax_number": "570-286-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 ARCH ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012212",
            "telephone_number": "570-286-4200",
            "fax_number": "570-286-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. NAYEEM AKHTAR, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "CRISSINGER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-286-4200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD047557L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007682100003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS IND. NUMBER",
            "identifier": "071904",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN #",
            "identifier": "7991768",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE IND. #",
            "identifier": "P00257241",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS GROUP NUMBER",
            "identifier": "1386458",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC IND. NUMBER",
            "identifier": "50053124",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC GROUP NUMBER",
            "identifier": "02882100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC IND. NUMBER",
            "identifier": "01018301",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INDIVIDUAL NUMBER",
            "identifier": "2830222",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS IND. NUMBER",
            "identifier": "742235",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER IND. NUMBER",
            "identifier": "20558-1012",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INDIVIDUAL NUMBER",
            "identifier": "5549161",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER IND. NUMBER",
            "identifier": "8722-1012",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019133700004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE IND. #",
            "identifier": "100016274",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.