Active NPI
Nasim Akhtar, M.D.
- Cardiovascular Disease Physician
- Fort Worth, TX
National Provider Identifier
1952352825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- E3638
- Practice address
- 1017 12TH Ave
Fort Worth, TX 76104-3915 - Phone
- (817) 334-2800
- Fax
- (817) 336-1954
- NPI assigned
- May 15, 2006
- Last updated
- Aug 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | E3638 | TX | Primary |
| Interventional Cardiology Physician | 207RI0011X | E3638 | TX |
Addresses
Primary practice location
1017 12TH Ave
Fort Worth, TX 76104-3915
Mailing address
1017 12TH Ave
Fort Worth, TX 76104-3915
Phone (817) 334-2800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86464K | Other | TX | BCBS |
| 1380826-02 | Medicaid | TX | |
| 1380826-08 | Medicaid | TX | |
| 4036131 | Other | AETNA PROVIDER ID | |
| 01253798 | Other | TX | AMERIGROUP |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249862400000",
"number": "1952352825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 12TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043915",
"telephone_number": "817-334-2800",
"fax_number": "817-336-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 12TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043915",
"telephone_number": "817-334-2800",
"fax_number": "817-336-1954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKHTAR",
"first_name": "NASIM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2009-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "E3638",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "E3638",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "86464K",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1380826-02",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1380826-08",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "4036131",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01253798",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.