Individual provider Active NPI

Ayman Akkad, MD

  • Pediatric Endocrinology Physician
  • Dearborn, MI
National Provider Identifier
1841207412
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
4301037173 Issued in MI
Practice address
1331 Monroe St
Dearborn, MI 48124-2888
Phone
(313) 914-5591
Fax
(313) 914-5580
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 4301037173 MI Primary

Addresses

Primary practice location

1331 Monroe St
Dearborn, MI 48124-2888

Mailing address

1331 Monroe St
Dearborn, MI 48124-2888
Phone (313) 914-5591

Other identifiers 3

IdentifierTypeStateIssuer
4334747MedicaidMI
050564968OtherMITAX IDENTIFICATION NUMBER
3503306701OtherMABCBSM INDIVIDUAL PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301037173MIMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alzohaili Medical Consultants MD PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ayman.akkad@mdec.eclinicaldirectplus.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1841207412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242888",
            "telephone_number": "313-914-5591",
            "fax_number": "313-914-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242888",
            "telephone_number": "313-914-5591",
            "fax_number": "313-914-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKKAD",
        "first_name": "AYMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MI",
            "license": "4301037173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4334747",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "050564968",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM INDIVIDUAL PIN",
            "identifier": "3503306701",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.