Mariam Akhtar, MD
Individual provider Active NPI Family Medicine Physician · Joplin, MO
NPI 1780024596 · NPPES record last updated Jun 10, 2024
Key facts
- NPI
- 1780024596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2018035258 (MO)
- Practice address
- 3202 McIntosh Cir Ste 301
Joplin, MO 64804-3686 - Phone
- (417) 347-8430
- NPI assigned
- Jun 26, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 31
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neighborhood Improvement Project, Inc
Practice addresses (Care Compare)
2467 Golden Camp Rd
Augusta, GA 30906-5515
Phone (706) 790-4440
Hospital & facility affiliations
- Wellstar MCG Health, Affiliated With Med Col
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, MO
- 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 |
|---|---|---|---|---|
| I20160725000414 | GA | Practitioner - Family Practice | 2365685013 | Reassigns benefits to 2 organizations |
| I20190109003219 | MO | Practitioner - Family Practice | 2365685013 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018035258 | MO | MD | Family Medicine Physician |
| 006130 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Improvement Project Inc | Family Medicine | Current |
Accepting new patients |
| Au Medical Associates Inc | Current |
Accepting new patients | |
| Ozark Tri-County Health Care Consortium | Current | Accepting new patients | |
| Ozark Tri-County Health Care Consortium | Current |
Accepting new patients | |
| Au Medical Associates Inc | Current |
Accepting new patients | |
| Neighborhood Improvement Project, Inc | Current |
Accepting new patients | |
| Ozark Tri-County Health Care Consortium | Current |
Accepting new patients | |
| Au Medical Center, Inc | Current | Accepting new patients | |
| Neighborhood Improvement Project, Inc | Past | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1299 Interstate Pkwy
Augusta, GA 30909
Phone (706) 863-2246
2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682
1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951
927 N Highway 71
Anderson, MO 64831
Phone (417) 845-2273
530 S Maiden Ln
Joplin, MO 64801
Phone (417) 223-4385
Interoperability endpoints
- mariam.akhtar@mapbt.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2018035258 | MO | Yes |
Addresses
Primary practice location
3202 McIntosh Cir Ste 301
Joplin, MO 64804-3686
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-4662
Other practice location 1
336 S Jefferson St
Neosho, MO 64850-1769
Phone (417) 455-4200
Other practice location 2
2467 Golden Camp Rd
Augusta, GA 30906-5515
Phone (067) 904-4407
Other providers in Joplin, MO
- Ayaz Ahmed
- Farhan Rasheed Ahmed
- Syed A. Ahmed
- Allicia Vivienne Ajibola
- Oluwafemi A Ajibola
- Bruce A Akuna
- Muthanna Al Hasan
- Asad Yasin Al-Rawashdeh
- Alan Melot LLC
- Kevin Alban
All providers in Joplin, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2024. 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.