Individual provider Active NPI

Akash Ferdaus, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1548510795
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
266730 Issued in NY
Practice address
79 Church Ave
Brooklyn, NY 11218-2207
Phone
(718) 431-0009
Fax
(718) 431-0451
NPI assigned
Sep 14, 2012
Last updated
Jul 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 266730 NY Primary

Addresses

Primary practice location

79 Church Ave
Brooklyn, NY 11218-2207

Mailing address

79 Church Ave
Brooklyn, NY 11218-2207
Phone (718) 431-0009

Other identifiers 1

IdentifierTypeStateIssuer
03619638MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130827000501 NY Practitioner - Internal MedicinePractitioner - HospitalistPractitioner - Geriatric Medicine 4183867914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

79 Church Ave
Brooklyn, NY 11218-2692
Phone (718) 431-0009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266730NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akash Medical Care, PLLC CurrentSince May 15, 2016 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: akashferdaus@1487.mdlanddirect.com

Organizations & group practices 1

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": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1548510795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182207",
            "telephone_number": "718-431-0009",
            "fax_number": "718-431-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182207",
            "telephone_number": "718-431-0009",
            "fax_number": "718-431-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDAUS",
        "first_name": "AKASH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-14",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "266730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03619638",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.