Individual provider Active NPI

Takintope Akinbiyi, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Cedar Rapids, IA
National Provider Identifier
1497048805
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD-47333 Issued in IA
Practice address
3705 River Ridge Dr NE
Cedar Rapids, IA 52402-7596
Phone
(319) 384-8100
Fax
(319) 393-1867
NPI assigned
May 18, 2011
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X MD-47333 IA Primary

Addresses

Primary practice location

3705 River Ridge Dr NE
Cedar Rapids, IA 52402-7596

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2902

Other practice location 1

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20221118002015 GA Practitioner - Plastic and Reconstructive Surgery 4284059551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Aesthetics, P.CGroup PAC ID 0840271482, 3 clinicians

Practice addresses (Care Compare)

874 Lanier Ave W
Suite 100
Fayetteville, GA 30214-7659
Phone (770) 461-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-47333IAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Advanced Aesthetics, P.C CurrentSince Nov 1, 2022 Accepting new patients
Advanced Aesthetics PC CurrentSince Nov 1, 2022 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

874 Lanier Ave W
Ste 100
Fayetteville, GA 30214
Phone (770) 461-4000

2084 Newnan Crossing Blvd E
Ste 200
Newnan, GA 30265
Phone (770) 461-4000

1000 Hospital Dr
#1018
Stockbridge, GA 30281
Phone (404) 367-3350

Interoperability endpoints

  • Direct secure messaging: takinbiyi183800@uihcdirect.org
  • Direct secure messaging: takinbiyi750287@direct.unitypoint.org

Organizations & group practices 4

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 2

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": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1497048805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 RIVER RIDGE DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027596",
            "telephone_number": "319-384-8100",
            "fax_number": "319-393-1867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-2902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKINBIYI",
        "first_name": "TAKINTOPE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IA",
            "license": "MD-47333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.