NPIMap

Individual provider Active NPI

Wafa Akkad, M.D.

  • Family Medicine Physician
  • Fairfield Township, OH
National Provider Identifier
1578739405
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.133092 Issued in OH
Practice address
3145 Hamilton Mason Rd Ste 200a
Fairfield Township, OH 45011-8556
Phone
(513) 863-6222
Fax
(513) 863-6478
NPI assigned
Apr 30, 2008
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.133092 OH Primary

Addresses

Primary practice location

3145 Hamilton Mason Rd Ste 200a
Fairfield Township, OH 45011-8556

Mailing address

3145 Hamilton Mason Rd Ste 200a
Fairfield Township, OH 45011-8556
Phone (513) 863-6222

Other identifiers 1

IdentifierTypeStateIssuer
0298758MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180925001564 OH Practitioner - Family Practice 4587822887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

3145 Hamilton Mason Rd
Suite 300
Fairfield Township, OH 45011-8556
Phone (513) 863-6222

7567 Central Parke Blvd
Mason, OH 45040-6852

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.133092OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Aug 11, 2018 Accepting new patients
Trihealth G LLC Family Medicine CurrentSince Aug 11, 2018 Accepting new patients
Center for Family Medicine Family Medicine PastSince Dec 12, 2021 Accepting new patients
Trihealth G LLC Family Medicine Past Accepting new patients
Trihealth Physician Practices LLC PastSince Mar 1, 2020 Accepting new patients
Trihealth H LLC PastSince Mar 1, 2020 Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

4685 Forest Ave
Ste A
Cincinnati, OH 45212
Phone (513) 579-8811

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

3145 Hamilton Mason Rd
Ste 200A
Fairfield Township, OH 45011
Phone (513) 863-6222

3145 Hamilton Mason Rd
Ste 300
Fairfield Township, OH 45011
Phone (513) 863-6222

Interoperability endpoints

  • Direct secure messaging: wakkad276357@direct.trihealth.com

Organizations & group practices 7

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 8

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1578739405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 HAMILTON MASON RD STE 200A",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450118556",
            "telephone_number": "513-863-6222",
            "fax_number": "513-863-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 HAMILTON MASON RD STE 200A",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450118556",
            "telephone_number": "513-863-6222",
            "fax_number": "513-863-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKKAD",
        "first_name": "WAFA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.133092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0298758",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield Township, OH

Sources for this page

Verify at the official NPI Registry.