Active NPI
Anas Alakkam, DO
- Internal Medicine Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 182
- Practice address
- 750 E Adams St
Syracuse, NY 13210-1834 - Phone
- (315) 464-5540
- NPI assigned
- Apr 9, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 390200000 | PA | |
| Hospitalist Physician | 208M00000X | 2701 | WI | |
| Internal Medicine Physician | 207R00000X | 182 | NY | Primary |
Addresses
Primary practice location
750 E Adams St
Syracuse, NY 13210-1834
Mailing address
750 E Adams St
Syracuse, NY 13210-1834
Phone (315) 464-5540
Other practice location 1
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 731-4101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182 | NY | MD | Internal Medicine Physician |
| 390200000 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare, Incorporated | Current | Accepting new patients |
Locations
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
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.
-
- Family Medicine Physician
- New London, WI
- NPI 1376656959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1972036630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101834",
"telephone_number": "315-464-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101834",
"telephone_number": "315-464-5540"
}
],
"practiceLocations": [
{
"address_1": "1818 N Meade St",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549113454",
"country_code": "US",
"telephone_number": "920-731-4101",
"fax_number": "920-735-7618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALAKKAM",
"first_name": "ANAS",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-09",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "390200000",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "2701",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.