M Michael Akhiyat, M.D.
Individual provider Active NPI Specialist · Palatka, FL
NPI 1750359451 · NPPES record last updated May 29, 2008
Key facts
- NPI
- 1750359451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- ME0059459 (FL)
- Practice address
- 6061 Saint Johns Ave
Suite a
Palatka, FL 32177-6857 - Phone
- (386) 325-0826
- Fax
- (386) 325-6419
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3100 US Hwy 1 S
Suite 1
St Augustine, FL 32086-6310
Phone (904) 797-2777
6061 Saint Johns Ave
A
Palatka, FL 32177-6857
Phone (386) 325-0826
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Putnam Obstetrics and Gynecology |
Rural health clinic | 5% Or Greater Direct Ownership Interest W-2 Managing Employee (100%) |
Aug 1, 1992 Jun 1, 1998 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091022000668 | FL | Practitioner - Obstetrics/Gynecology | 1355317272 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0059459 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flagler OB GYN PA | Specialist | Current |
Accepting new patients |
| S S Marathe MD PA | Past |
Accepting new patients | |
| Juan Larroude MD PA | Past |
Accepting new patients |
Locations
3100 US Highway 1 S
Ste 1
Saint Augustine, FL 32086
Phone (904) 797-2777
3100 US Highway 1 S
St Augustine, FL 32086
Phone (904) 797-2777
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DDICAA/Endpoint/DDICAA
- https://fhir4.healow.com/fhir/r4/GFAGAA/Endpoint/GFAGAA
- makhiyat744523@direct.shands.ufl.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0059459 | FL | Yes |
Addresses
Primary practice location
6061 Saint Johns Ave
Suite a
Palatka, FL 32177-6857
Mailing address
6061 Saint Johns Ave
Suite a
Palatka, FL 32177-6857
Phone (386) 325-0826
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053212600 | Medicaid | FL |
Other providers in Palatka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2008. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.