Individual provider Active NPI

Raza R Akbar, M.D.

  • Occupational Medicine Physician
  • Munster, IN
National Provider Identifier
1669689386
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
01071724 Issued in IN
Practice address
9200 Calumet Ave Ste N502
Munster, IN 46321
Phone
(219) 440-5286
Fax
(219) 703-6571
NPI assigned
May 16, 2007
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 036121175 IL
Occupational Medicine Physician 2083X0100X R7984 IA
Occupational Medicine Physician 2083X0100X 01071724 IN Primary

Addresses

Primary practice location

9200 Calumet Ave Ste N502
Munster, IN 46321

Mailing address

9200 Calumet Ave Ste N502
Munster, IN 46321-2862
Phone (219) 440-5286

Other practice location 1

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

Other practice location 2

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

Other practice location 3

676 N Saint Clair St Ste 900
Chicago, IL 60611-2977
Phone (833) 622-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20090126000390 IL Practitioner - Internal MedicinePractitioner - Preventive Medicine 2163586827 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7984IAMDOccupational Medicine Physician
036121175ILMDOccupational Medicine Physician
01071724INMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey Emergency Physicians, PLLC CurrentSince Apr 6, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jan 6, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jan 6, 2024 Accepting new patients
Munster Medical Research Foundation, Inc. Past Accepting new patients
Community Care Network Inc Past Accepting new patients

Locations

1600 Torrence Ave
Calumet City, IL 60409
Phone (708) 730-1300

Dept 5777
Carol Stream, IL 60122

676 N Saint Clair St
Ste 900
Chicago, IL 60611
Phone (312) 926-3155

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Organizations & group practices 5

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1669689386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE STE N502",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212862",
            "telephone_number": "219-440-5286",
            "fax_number": "219-703-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE STE N502",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-440-5286",
            "fax_number": "219-703-6571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-1616",
            "fax_number": "319-384-6004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-1616",
            "fax_number": "319-384-6004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "676 N Saint Clair St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112977",
            "country_code": "US",
            "telephone_number": "833-622-6333",
            "fax_number": "312-926-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKBAR",
        "first_name": "RAZA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IL",
            "license": "036121175",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IA",
            "license": "R7984",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IN",
            "license": "01071724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.