Individual provider Active NPI

Bolanle Akakabota, MD

  • Hospitalist Physician
  • Apopka, FL
National Provider Identifier
1558360370
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME86267 Issued in FL
Practice address
515 Wekiva Commons Cir
Apopka, FL 32712-3645
Phone
(407) 464-9516
NPI assigned
Jul 14, 2005
Last updated
May 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME86267 FL
Hospitalist Physician 208M00000X ME86267 FL Primary

Addresses

Primary practice location

515 Wekiva Commons Cir
Apopka, FL 32712-3645

Mailing address

515 Wekiva Commons Cir
Apopka, FL 32712-3645
Phone (407) 464-9516

Other identifiers 1

IdentifierTypeStateIssuer
000263800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090102000152 FL Practitioner - HospitalistPractitioner - Internal Medicine 4183698012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Florida Hospital Specialists PAGroup PAC ID 5092628107, 53 clinicians

Practice addresses (Care Compare)

2000 Fowler Grove Blvd
Winter Garden, FL 34787-5050
Phone (407) 614-0500

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-1996

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Hospitalist Partners PA Hospitalist CurrentSince Dec 19, 2013 Accepting new patients
Mid Florida Hospital Specialists PA Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients

Locations

515 Wekiva Commons Cir
Apopka, FL 32712
Phone (407) 464-9516

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

5717 Red Bug Lake Rd
Winter Springs, FL 32708
Phone (321) 207-0172

Organizations & group practices 2

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 4

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1558360370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WEKIVA COMMONS CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123645",
            "telephone_number": "407-464-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WEKIVA COMMONS CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123645",
            "telephone_number": "407-464-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKAKABOTA",
        "first_name": "BOLANLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME86267",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME86267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000263800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.