Active NPI
Vimesh B. Akotia, M.D.
- Gastroenterology Physician
- Tyler, TX
National Provider Identifier
1972524197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- P7375
- Practice address
- 910 E Houston St
Ste 550
Tyler, TX 75702-8369 - Phone
- (903) 510-8718
- NPI assigned
- Jul 22, 2006
- Last updated
- Feb 17, 2016
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A65232 | CA | |
| Gastroenterology Physician | 207RG0100X | MD2007-0010 | NM | |
| Gastroenterology Physician | 207RG0100X | P7375 | TX | Primary |
Addresses
Primary practice location
910 E Houston St
Ste 550
Tyler, TX 75702-8369
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A652320 | Medicaid | CA | |
| 8DY841 | Other | TX | BCBS |
| 96735091 | Medicaid | NM | |
| NM002C08 | Other | NM | BCBS |
| P00418207 | Other | NM | RAILROAD MEDICARE |
| P01002082 | Other | TX | RAILROAD MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A65232 | CA | MD | Gastroenterology Physician |
| MD2007-0010 | NM | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Memorial Medical Group, Inc. | Past | Accepting new patients | |
| White Memorial Medical Group, Inc. | Past | Accepting new patients | |
| Pecos Valley of New Mexico, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Physician
- Carlsbad, NM
- NPI 1972569820
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1689769374
-
- Podiatrist
- Los Angeles, CA
- NPI 1902055866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1972524197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-324-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E HOUSTON ST",
"address_2": "STE 550",
"city": "TYLER",
"state": "TX",
"postal_code": "757028369",
"telephone_number": "903-510-8718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKOTIA",
"first_name": "VIMESH",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A65232",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NM",
"license": "MD2007-0010",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "P7375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A652320",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8DY841",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "96735091",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM002C08",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00418207",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01002082",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.