HEBA AKHTAR MD
NPI 1043903594
Family Medicine in Quakertown, PA

Active since May 31, 2023PECOS EnrolledAccepts Medicare Assignment
5 QUAKERS WAY, QUAKERTOWN, PA 18951(215) 536-0655 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2026, May 31, 2023 (2 updates tracked since 2023).

About Heba Akhtar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEBA AKHTAR MD (NPI 1043903594) is an individual family medicine provider in Quakertown, Pennsylvania, licensed in Pennsylvania (MD496167) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043903594
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEBA AKHTARCredential: MD
Location Address5 QUAKERS WAYQuakertown, PA 18951-2754
Mailing AddressDoylestown Hsopital, 595 West State StDoylestown, PA 18901 · (215) 345-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 31, 2023
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1043903594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD496167
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5 QUAKERS WAY, Quakertown, PA 18951

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heba Akhtar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315399623
PECOS Enrollment IDI20260827002766
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Heba Akhtar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
519 S 5TH ST, SUITE 130
Perkasie, PA 18944
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 76 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18951 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
5 QUAKERS WAY
QUAKERTOWN, PA 18951
Clinic/Center (Urgent Care)
5 QUAKERS WAY
QUAKERTOWN, PA 18951
Student in an Organized Health Care Education/Training Program
5 QUAKERS WAY
QUAKERTOWN, PA 18951
Nurse Practitioner (Primary Care)
5 QUAKERS WAY
QUAKERTOWN, PA 18951
Family Medicine
5 QUAKERS WAY
QUAKERTOWN, PA 18951

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heba Akhtar's NPI number?

The NPI number for Heba Akhtar is 1043903594. It was assigned to this individual provider in the NPPES registry on May 31, 2023.

Where is Heba Akhtar located?

Heba Akhtar practices at 5 Quakers Way, Quakertown, PA 18951. The listed phone number is (215) 536-0655.

What is Heba Akhtar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heba Akhtar enrolled in Medicare?

Yes. Heba Akhtar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Heba Akhtar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heba Akhtar reassigns Medicare benefits to Trivalley Primary Care, PC (Perkasie, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heba Akhtar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Heba Akhtar affiliated with any hospitals?

According to CMS data, Heba Akhtar is affiliated with St Lukes Quakertown Hospital and Doylestown Hospital.

When was this NPI record last updated?

The NPPES record for Heba Akhtar was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.