Individual provider Active NPI

S Paul Akana, MD

  • Surgery Physician
  • Milford, DE
National Provider Identifier
1942208459
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C10001556 Issued in DE
Practice address
1 Sussex Ave
Milford, DE 19963-1853
Phone
(302) 422-3377
Fax
(302) 422-9580
NPI assigned
Jul 8, 2005
Last updated
Oct 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C10001556 DE Primary

Addresses

Primary practice location

1 Sussex Ave
Milford, DE 19963-1853

Mailing address

1 Sussex Ave
PO Box 929
Milford, DE 19963-1853
Phone (302) 422-3377

Other identifiers 1

IdentifierTypeStateIssuer
0000054701MedicaidDE

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
C10001556DEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn E. Graybeal, MD, PA Surgery PastSince Apr 30, 2003 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1942208459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUSSEX AVE",
            "address_2": "PO BOX 929",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631853",
            "telephone_number": "302-422-3377",
            "fax_number": "302-422-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUSSEX AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631853",
            "telephone_number": "302-422-3377",
            "fax_number": "302-422-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKANA",
        "first_name": "S",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "C10001556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000054701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.