Individual provider Active NPI

Shamik Aikat, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Richmond, KY
National Provider Identifier
1497762314
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
37861 Issued in KY
Practice address
128 Mahogany Dr
Richmond, KY 40475-9823
Phone
(859) 893-0136
NPI assigned
Aug 2, 2006
Last updated
Apr 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37861 KY
Cardiovascular Disease Physician 207RC0000X 0101257078 VA
Cardiovascular Disease Physician 207RC0000X 37861 KY
Clinical Cardiac Electrophysiology Physician 207RC0001X 37861 KY Primary
Interventional Cardiology Physician 207RI0011X 37861 KY

Addresses

Primary practice location

128 Mahogany Dr
Richmond, KY 40475-9823

Mailing address

128 Mahogany Dr
Richmond, KY 40475-9823
Phone (859) 893-0136

Other identifiers 1

IdentifierTypeStateIssuer
64091374MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20041028000504 KY Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0042272445 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101257078VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Physician Corp CurrentSince Aug 17, 2015 Accepting new patients
Jackson Physician Corp Internal Medicine CurrentSince Aug 17, 2015 Accepting new patients
Anand PSC Cardiovascular Disease Past Accepting new patients

Locations

424 Jett Dr
Ste 111
Jackson, KY 41339

540 Jett Dr
Jackson, KY 41339
Phone (606) 666-4971

Interoperability endpoints

  • Direct secure messaging: saikat@yourcarecommunity.org

Organizations & group practices 3

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1497762314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MAHOGANY DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404759823",
            "telephone_number": "859-893-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MAHOGANY DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404759823",
            "telephone_number": "859-893-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIKAT",
        "first_name": "SHAMIK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "37861",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101257078",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "37861",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KY",
            "license": "37861",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "37861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64091374",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.