Active NPI
Collette Akhimiona, M.D.
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1811285646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MT-200641
- Practice address
- 230 N Broad St
Ms 345
Philadelphia, PA 19102-1121 - Phone
- (215) 762-7644
- NPI assigned
- Jul 14, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT-200641 | PA | Primary |
Addresses
Primary practice location
230 N Broad St
Ms 345
Philadelphia, PA 19102-1121
Mailing address
3701 Conshohocken Ave
# 313
Philadelphia, PA 19131-5539
Phone (405) 808-5202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150112001615 | TX | Practitioner - Nephrology | 0840514329 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nephrology Dialysis and Transplantation Associates PA
Practice addresses (Care Compare)
1700 Romano Park LN
Houston, TX 77090-2349
Phone (281) 866-9995
Hospital & facility affiliations
- DaVita The Woodlands Dialysis Center
- DaVita College Park Dialysis
- FKC Woodlands Park
- Cypress Creek Dialysis
- Memorial Hermann Hospital System
- Houston Methodist the Woodlands Hospital
- St Luke'S the Woodlands Hospital
- HCA Houston Healthcare Tomball
- HCA Houston Healthcare Northwest
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.53 of 100
- Quality
- 85.26
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-200641 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Dialysis and Transplantation Associates PA | Current | Accepting new patients |
Locations
1415 La Concha Ln
Houston, TX 77054
Phone (713) 790-9080
1700 Romano Park Ln
Houston, TX 77090
Phone (310) 890-8869
6560 Fannin St
Ste 1824
Houston, TX 77030
Phone (713) 521-2825
2255 E Mossy Oaks Rd
Ste 500
Spring, TX 77389
Phone (832) 232-5658
155 School St
Ste 220
Tomball, TX 77375
Phone (832) 305-5977
Interoperability endpoints
- collette.akhimiona.1@19285.direct.athenahealth.com
- cakhimiona25610@memorialhermann.direct-ci.com
Organizations & group practices 1
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.
-
- Nephrology Physician
- Houston, TX
- NPI 1437104429
TX
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- The Woodlands, TX
- NPI 1447362322
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Shenandoah, TX
- NPI 1194916205
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- The Woodlands, TX
- NPI 1235579509
Dialysis facility
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740450121
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1811285646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 CONSHOHOCKEN AVE",
"address_2": "# 313",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191315539",
"telephone_number": "405-808-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N BROAD ST",
"address_2": "MS 345",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021121",
"telephone_number": "215-762-7644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKHIMIONA",
"first_name": "COLLETTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-14",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT-200641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.