Active NPI
Anil K Makani, MD
- Surgery Physician
- Petersburg, WV
National Provider Identifier
1619067139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 15545
- Practice address
- 65 Hospital Dr Ste 103
Petersburg, WV 26847-9549 - Phone
- (304) 257-4331
- Fax
- (304) 257-1115
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 15545 | WV | Primary |
Addresses
Primary practice location
65 Hospital Dr Ste 103
Petersburg, WV 26847-9549
Mailing address
PO Box 788
Petersburg, WV 26847-0788
Phone (304) 257-4331
Other practice location 1
South Branch Surgical Associates, Inc
Suite # 3 Grant Memorial Hospital, Route 55
Petersburg, WV 26847
Phone (304) 257-4331
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009932000 | Medicaid | WV | |
| 0124462000 | Medicaid | WV | |
| 020029777 | Other | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- phys_anil_k_makani@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1619067139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 788",
"city": "PETERSBURG",
"state": "WV",
"postal_code": "268470788",
"telephone_number": "304-257-4331",
"fax_number": "304-257-2891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 HOSPITAL DR STE 103",
"city": "PETERSBURG",
"state": "WV",
"postal_code": "268479549",
"telephone_number": "304-257-4331",
"fax_number": "304-257-1115"
}
],
"practiceLocations": [
{
"address_1": "South Branch Surgical Associates, Inc",
"address_2": "Suite # 3 Grant Memorial Hospital, Route 55",
"address_purpose": "LOCATION",
"city": "Petersburg",
"state": "WV",
"postal_code": "26847",
"country_code": "US",
"telephone_number": "304-257-4331",
"fax_number": "304-257-2891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKANI",
"first_name": "ANIL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "15545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009932000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0124462000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "020029777",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.