Active NPI
Mohammed Awni Makkiya, MD
- Cardiovascular Disease Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101271655
- Practice address
- 315 S Manning Blvd
Albany, NY 12208-1707 - Phone
- (518) 525-1550
- NPI assigned
- Apr 9, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 285612 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 0101271655 | VA | Primary |
Addresses
Primary practice location
315 S Manning Blvd
Albany, NY 12208-1707
Mailing address
PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634
Other practice location 1
111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-4321
Other practice location 2
600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3221
Other practice location 3
2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
417 N 11TH St
Richmond, VA 23298-5024
Phone (804) 828-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter'S Hospital of the City of Albany | Current | Accepting new patients | |
| St. Peter'S Hospital of the City of Albany | Current | Accepting new patients | |
| MCV Associated Physicians | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Samaritan Hospital of Troy, New York | Cardiovascular Disease | Current | Accepting new patients |
| Montefiore Medical Center | Cardiovascular Disease | Current | Accepting new patients |
| Riverside Physician Services Inc | Past | Accepting new patients |
Locations
600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
111 E 210th St
Bronx, NY 10467
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906
6605 W Broad St
Richmond, VA 23230
Phone (804) 282-4827
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
417 N 11th St
Richmond, VA 23298
Phone (804) 828-0733
668 Hospital Rd
Ste 300
Tappahannock, VA 22560
Phone (804) 443-6245
618 Hospital Rd
#2
Tappahannock, VA 22560
332 N Henry St
Williamsburg, VA 23185
Phone (757) 220-1246
Interoperability endpoints
- mmakkiya788349@direct.trinity-health.org
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
Cardiovascular Disease
-
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
-
- Family Medicine Physician
- Newport News, VA
- NPI 1013933977
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Hill, VA
- NPI 1336103738
-
- General Acute Care Hospital
- Tappahannock, VA
- NPI 1760580757
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1679916605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"city": "ALBANY",
"state": "NY",
"postal_code": "122124890",
"telephone_number": "518-525-5634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S MANNING BLVD",
"city": "ALBANY",
"state": "NY",
"postal_code": "122081707",
"telephone_number": "518-525-1550"
}
],
"practiceLocations": [
{
"address_1": "111 E 210th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104672401",
"country_code": "US",
"telephone_number": "718-920-4321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Northern Blvd",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122041004",
"country_code": "US",
"telephone_number": "518-471-3221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2215 Burdett Ave",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802466",
"country_code": "US",
"telephone_number": "518-271-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKKIYA",
"first_name": "MOHAMMED",
"middle_name": "AWNI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-09",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "285612",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101271655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.