Syed Shah Ali Akbar, MD
Individual provider Active NPI Nephrology Physician · Allen Park, MI
NPI 1477554699 · NPPES record last updated Jan 30, 2019
Key facts
- NPI
- 1477554699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 4301034565 (MI)
- Practice address
- 16407 Southfield Rd
Allen Park, MI 48101-2571 - Phone
- (313) 271-3000
- Fax
- (313) 271-3003
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20100826001040 | MI | Practitioner - Nephrology |
5193633659 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Hypertension Clinic PC | Nephrology | Current | Accepting new patients |
| Nephrology Hypertension Clinic, PC | Nephrology | Current |
Accepting new patients |
| Oakwood Healthcare Inc | Past | Accepting new patients |
Locations
16407 Southfield Rd
Ste A
Allen Park, MI 48101
Phone (313) 271-3000
16407 Southfield Rd
Allen Park, MI 48101
Phone (313) 271-3000
18100 Oakwood Blvd
Ste 207
Dearborn, MI 48124
Phone (313) 271-3000
14752 Northline Rd
Southgate, MI 48195
Phone (734) 285-5030
5715 N Venoy Rd
Westland, MI 48185
Phone (734) 261-9418
Interoperability endpoints
- sakbar61026@direct.hfhs.org
- https://fhir4.healow.com/fhir/r4/AJFBBA
- syed.akbar.1@16555.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 4301034565 | MI | Yes |
Addresses
Primary practice location
16407 Southfield Rd
Allen Park, MI 48101-2571
Mailing address
PO Box 77000 Dept 771255
Detroit, MI 48277-2000
Phone (313) 271-3000
Other practice location 1
14752 Northline Rd
Southgate, MI 48195-2467
Phone (734) 285-5030
Other practice location 2
5715 N Venoy Rd
Westland, MI 48185-2830
Phone (734) 513-2910
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2750 | Other | MI | M-CARE |
| 2803364 | Medicaid | MI | |
| G02484 | Other | MI | BLUECARE NETWORK |
| 110059180C30371 | Other | MI | TRAVELERS MEDICARE |
| 1559 | Other | MI | CAPE HEALTH PLAN |
| 204980 | Other | MI | FEDERAL BLACK LUNG |
| 4036151 | Other | MI | AETNA |
| P71340 | Other | MI | BLUECARE NETWORK |
| 100178 | Other | MI | GREAT LAKES HEALTH PLAN |
| 110Q26434 | Other | MI | BCBS |
| 107217 | Other | MI | CARE CHOICES |
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All providers in Allen Park, MI · Nephrology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2019. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.