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DR. GHULAM A. AKBARI M.D.
NPI 1639155153
Internal Medicine in Albany, NY

Active since December 16, 2005PECOS Enrolled
4 ATRIUM DR, SUITE 100; ATTN: TAMMY M. BUTTON, ALBANY, NY 12205(518) 435-2740(518) 458-2610 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Ghulam A. Akbari M.d. NPPES

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

DR. GHULAM A. AKBARI M.D. (NPI 1639155153) is an individual internal medicine provider in Albany, New York, licensed in New York (234939) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1639155153
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GHULAM A. AKBARICredential: M.D.
Location Address4 ATRIUM DR, SUITE 100; ATTN: TAMMY M. BUTTONAlbany, NY 12205-1441
Mailing Address315 S Manning Blvd, Hospitalist Program - 6 CusackAlbany, NY 12208-1707 · (518) 525-8600 · Fax (518) 525-6891
Phone(518) 435-2740
Fax(518) 458-2610
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateDecember 16, 2005
Last NPPES UpdateApril 17, 2026
NPPES CertifiedApril 17, 2026
✔ NPI 1639155153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 234939
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 234939 (NY)
4 ATRIUM DR, Albany, NY 12205
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Other Identifiers 1

Medicaid11446467NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ghulam A. Akbari M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204883291
PECOS Enrollment IDI20050401000334
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 Reassignments

3

Medicare enrollment records show Ghulam Akbari reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Peter's Hospitalof The City Of Albany
2.5 mi
General Acute Care Hospital
315 SOUTH MANNING BLVD, SUITE 6512
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 clinicians in this Medicare group
NPI 1003981432 (518) 525-1304
Ghulam Akbari Medicine PLLC
4.0 mi
Internal Medicine
180 WASHINGTON AVENUE EXT
Albany, NY 12203
  • Reassigned Medicare billing, New York enrollment
NPI 1821370982 (518) 280-5243
Samaritan Hospital Of Troy, New York
6.2 mi
General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
NPI 1043267727 (518) 271-3300

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,887 services415 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
142 services132 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
135 services128 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
65 services64 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12205 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Manual wheelchair accessory, wheel lock brake extension (handle), each E0961
DME-Wheelchairs · category DD021N
1 supplier17 claims34 services$1.59 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers41 claims41 services$14.09 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$16.68 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier22 claims22 services$7.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. JUDITH ANN FALK PH.D.
Psychologist (Clinical)
4 ATRIUM DR
ALBANY, NY 12205
Albany County (514) 539-2205
PRIME CARE PHYSICIANS, P.L.L.C.
Internal Medicine (Cardiovascular Disease)
4 ATRIUM DR, SUITE 100
ALBANY, NY 12205
Albany County (518) 435-2704
DR. ELIZABETH CRITZ SCHOCKMEL PSY.D.
Psychologist (Clinical)
4 ATRIUM DR, SUITE 240
ALBANY, NY 12205
Albany County (518) 453-9220
MUHAMMAD A HENA PC
Surgery (Surgical Oncology)
4 ATRIUM DR, SUITE 230
ALBANY, NY 12205
Albany County (518) 489-4791

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 Ghulam Akbari's NPI number?

The NPI number for Ghulam Akbari is 1639155153. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Ghulam Akbari located?

Ghulam Akbari practices at 4 Atrium Dr Suite 100; Attn: Tammy M. Button, Albany, NY 12205. The listed phone number is (518) 435-2740.

What is Ghulam Akbari's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ghulam Akbari enrolled in Medicare?

Yes. Ghulam Akbari is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ghulam Akbari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ghulam Akbari reassigns Medicare benefits to 3 organizations: St. Peter's Hospitalof The City Of Albany (Albany, NY), Ghulam Akbari Medicine PLLC (Albany, NY) and Samaritan Hospital Of Troy, New York (Troy, NY). Each 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 Ghulam Akbari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ghulam Akbari affiliated with any hospitals?

According to CMS data, Ghulam Akbari is affiliated with St Peter's Hospital.

When was this NPI record last updated?

The NPPES record for Ghulam Akbari was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.