KAMAL AKHTAR (FNP) – Nurse Practitioner, NPI 1720543838

KAMAL AKHTAR (FNP) is a healthcare provider. based in Belleville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2019003452 (MO). The NPI Number for KAMAL AKHTAR (FNP) is 1720543838

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
KAMAL AKHTAR (FNP)
NPI
1720543838
Phone
(618) 257-6220
Address
4500 Memorial Dr
Enumeration Date
2 February 2019
Last Update Date
30 August 2022

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5733581400
Graduation Year
2018 (8 years ago)
PAC ID
2769722065
Group Practice PAC ID
5395643209
Professional Enrollment ID
I20190325000683
Address ID
MO636283767BO7245XRDXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Other namesUpdated within 12 months

11,637 NURSE PRACTITIONER in IL

Provider Addresses for KAMAL AKHTAR (FNP)

  • 4500 Memorial Dr

    Belleville, IL 622265360

    Phone: (618) 257-6220

    Type: Location

  • Washington County Memorial Hospital, 300, Health Way Drive, Potosi, Washington County, Missouri, 63660, United States

    POTOSI, MO 636641420

    Phone: (573) 438-5451

    Type: Location

  • Concourse Office Plaza North, 4711, Golf Road, Skokie, Niles Township, Cook County, Illinois, 60076, United States

    STE 1250

    SKOKIE, IL 600761232

    Phone: (847) 235-6130

    Fax: (847) 941-0577

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190325000683INurse PractitionerMOTBD
I20190410000139INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making136133$0
99285Emergency department visit with high level of medical decision making127124$0
99283Emergency department visit with low level of medical decision making2626$0
99213Established patient office or other outpatient visit, 20-29 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 62226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395643209View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeIN
Emergency MedicineMA
-PA
Emergency Medicine, Family Practice, Emergency MedicineMO
-TN
Emergency Medicine, Pediatric MedicineIL
Emergency Medicine, Pediatric MedicineTN
-MO
-CT
Emergency MedicineMO

Reviews

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Frequently asked questions

Can I use this page to confirm KAMAL AKHTAR (FNP)'s NPI?
Yes. KAMAL AKHTAR (FNP) is listed with NPI 1720543838 in the public NPI dataset.
Does the file indicate KAMAL AKHTAR (FNP) is practicing under active NPI?
Directory data currently reports KAMAL AKHTAR (FNP) as active.
What is KAMAL AKHTAR (FNP)'s specialty?
The listing groups KAMAL AKHTAR (FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does KAMAL AKHTAR (FNP) serve?
KAMAL AKHTAR (FNP)'s listing highlights Belleville, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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