NPIMap

Organization Active NPI

Red Hook Family Practice P.C.

Doing business as Cruz Bay Family Practice Red Hook Family Practice

  • Family Medicine Physician
  • St Thomas, VI
National Provider Identifier
1972666097
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1377 Issued in VI
Legal business name
RED HOOK FAMILY PRACTICE P.C.
Doing business as
Cruz Bay Family Practice Red Hook Family Practice
Practice address
6500 Red Hook PLZ
Suite 205
St Thomas, VI 00802-1306
Phone
(340) 775-2303
Fax
(340) 779-2077
NPI assigned
Dec 19, 2006
Last updated
Jun 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Dr. Siri Akal, M.D.NPI 1972568723
Title
Owner President
Phone
(340) 775-2303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1377 VI Primary

Addresses

Primary practice location

6500 Red Hook PLZ
Suite 205
St Thomas, VI 00802-1306

Mailing address

6500 Red Hook PLZ
Suite 205
St Thomas, VI 00802-1306
Phone (340) 775-2303

Other names 1

  • Cruz Bay Family Practice Red Hook Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140521001905 VI Part B Supplier - Clinic/Group Practice 5496978363 Receives reassigned benefits from 20 practitioners
Practice locations: St John, VI; St Thomas, VI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
48D0885251Red Hook Family Practice6500 Red Hook Plaza Suite 205, St Thomas, VI 00802Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory

Locations

6500 Red Hook Plz
Ste 205
St Thomas, VI 00802
Phone (340) 775-2303

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBJEDD

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1972666097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 RED HOOK PLZ",
            "address_2": "SUITE 205",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008021306",
            "telephone_number": "340-775-2303",
            "fax_number": "340-779-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 RED HOOK PLZ",
            "address_2": "SUITE 205",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008021306",
            "telephone_number": "340-775-2303",
            "fax_number": "340-779-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED HOOK FAMILY PRACTICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "AKAL",
        "authorized_official_first_name": "SIRI",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "340-775-2303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VI",
            "license": "1377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cruz Bay Family Practice Red Hook Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.