Abdul Akim Bakarr
Individual provider Active NPI Family Medicine Physician · Quincy, IL
NPI 1609507342 · NPPES record last updated Jun 22, 2022
Key facts
- NPI
- 1609507342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 125080978 (IL)
- Practice address
- 612 N 11TH St
Quincy, IL 62301-2662 - Phone
- (217) 224-9484
- NPI assigned
- Jun 22, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sinai Hospital of Baltimore, Inc
Practice addresses (Care Compare)
2401 E Belvedere Ave
Baltimore, MD 21215-5216
2435 W Belvedere Ave
Baltimore, MD 21215-5224
Hospital & facility affiliations
- Sinai Hospital of Baltimore
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250620002945 | MD | Practitioner - Hospitalist |
5294118212 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinai Hospital of Baltimore, Inc. | Current |
Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current |
Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients |
Locations
2401 W Belvedere Ave
Baltimore, MD 21215
2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125080978 | IL | Yes |
Addresses
Primary practice location
612 N 11TH St
Quincy, IL 62301-2662
Mailing address
612 N 11TH St
Quincy, IL 62301-2662
NPI Registry JSON
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1609507342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 N 11TH ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 N 11TH ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012662",
"telephone_number": "217-224-9484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKARR",
"first_name": "ABDUL AKIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-22",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125080978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, IL
- Catherine Marie Ayres
- Sara Z. Baig
- Kaileigh Emma Bainter
- Molly Bainter
- Deeanna Baird
- Alexandra Nicole Baker
- Catherine Rose Baker
- Elizabeth Baker
- Erin M Baker
- Mark Baker
All providers in Quincy, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.