Individual provider Active NPI

Isaac E. Akkad

  • Interventional Cardiology Physician
  • Miami, FL
National Provider Identifier
1992190813
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME155552 Issued in FL
Practice address
11760 SW 40TH St Ste 352a
Miami, FL 33175-3595
Phone
(305) 571-0620
Fax
(305) 576-8099
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X 04-48629 KS
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X ME155552 FL Primary

Addresses

Primary practice location

11760 SW 40TH St Ste 352a
Miami, FL 33175-3595

Mailing address

3801 Biscayne Blvd Ste 300
Miami, FL 33137-9800
Phone (305) 571-0620

Other practice location 1

401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231209000252 KS Practitioner - Interventional Cardiology 5890174734 Reassigns benefits to 1 organization
I20240206000755 CO Practitioner - Cardiovascular Disease (Cardiology) 5890174734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonspirit Kansas IncGroup PAC ID 4789595844, 62 clinicians

Practice addresses (Care Compare)

401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2431

Hospital & facility affiliations

  • St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023
  • Bob Wilson Memorial Hospital Hospital, Ulysses, KS, CCN 171388
  • Centura St. Catherine-Dodge City Hospital, Dodge City, KS, CCN 170175
  • Kearny County Hospital Hospital, Lakin, KS, CCN 171313
  • Hays Medical Center Hospital, Hays, KS, CCN 170013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME155552FLMDInterventional Cardiology Physician
04-48629KSMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Dec 15, 2023 Accepting new patients
Commonspirit Kansas, Inc. Multi-Specialty Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC Multi-Specialty Current Accepting new patients
St Catherine Hospital Multi-Specialty CurrentSince Jun 17, 2024 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Dec 15, 2023 Accepting new patients
Commonspirit Kansas, Inc. Multi-Specialty CurrentSince Jun 17, 2024 Accepting new patients
St. Catherine Hospital Multi-Specialty Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

360 W Park Dr
Grand Junction, CO 81505
Phone (970) 244-2482

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1992190813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BISCAYNE BLVD STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331379800",
            "telephone_number": "305-571-0620",
            "fax_number": "305-576-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 352A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753595",
            "telephone_number": "305-571-0620",
            "fax_number": "305-576-8099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465679",
            "country_code": "US",
            "telephone_number": "620-272-2431",
            "fax_number": "620-272-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKKAD",
        "first_name": "ISAAC",
        "middle_name": "E.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KS",
            "license": "04-48629",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME155552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.