AYSE AKCAN ARIKAN MD
NPI 1043567571
Pediatrics - Pediatric Critical Care Medicine in Houston, TX

NPI Status: Active since August 15, 2012

Contact Information

ONE BAYLOR PLAZA
HOUSTON, TX
ZIP 77030
Phone: (832) 826-6230

Get Directions Write a Review

  • Individual
  • Female
  • Years of Experience 30
  • Pediatrics
  • Pediatric Critical Care Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About AYSE AKCAN ARIKAN

This page provides the complete NPI Profile along with additional information for Ayse Akcan Arikan, a pediatrician established in Houston, Texas with a medical specialization in Pediatrics, focusing in pediatric critical care medicine and more than 30 years of experience. The healthcare provider is registered in the NPI registry with number 1043567571 assigned on August 2012. The practitioner's primary taxonomy code is 2080P0203X with license number P4019 (TX). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1043567571
Provider Name
AYSE AKCAN ARIKAN MD
Gender
Female
Entity Type
Individual
Location Address
ONE BAYLOR PLAZA HOUSTON, TX 77030
Location Phone
(832) 826-6230
Mailing Address
ONE BAYLOR PLAZA HOUSTON, TX 77030
Mailing Phone
(832) 826-6230
Medical School Name
OTHER
Graduation Year
1996
Is Sole Proprietor?
Yes
Enumeration Date
08-15-2012
Last Update Date
08-15-2012
Code Navigator

A pediatrician like Ayse Akcan Arikan is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Critical Care Medicine

Taxonomy Code
2080P0203X
Type
Allopathic & Osteopathic Physicians
License No.
P4019
License State
TX
Taxonomy Description
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P4019OTHER (01)TXLICENSE

Medicare Participation & PECOS Enrollment Status

Ayse Akcan Arikan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Ayse Akcan Arikan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9931417359

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20151006000222

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE005N)

    Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) (HCPCS:E0465)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

Reviews for AYSE AKCAN ARIKAN MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043567571, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 1 + 0 + 6 + 1 + 4 + 5 + 1 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1043567571.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
ONE BAYLOR PLAZA, ROOM 286A
HOUSTON, TX 77030
Internal Medicine
ONE BAYLOR PLAZA, BAYLOR COLLEGE OF MEDICINE
HOUSTON, TX 77030
Surgery
ONE BAYLOR PLAZA
HOUSTON, TX 77030
Internal Medicine
ONE BAYLOR PLAZA
HOUSTON, TX 77030
Clinic/Center (VA)
ONE BAYLOR PLAZA, DEPARTMENT OF RADIOLOGY BCM360
HOUSTON, TX 77030
Internal Medicine (Pulmonary Disease)
ONE BAYLOR PLAZA, BAYLOR COLLEGE OF MEDICINE BCM285
HOUSTON, TX 77030
Emergency Medicine
ONE BAYLOR PLAZA, BAYLOR COLLEGE OF MEDICINE BCM 620
HOUSTON, TX 77030
Physician Assistant
ONE BAYLOR PLAZA, ROOM 286A
HOUSTON, TX 77030
Radiology (Neuroradiology)
ONE BAYLOR PLAZA, BAYLOR COLLEGE OF MEDICINE
HOUSTON, TX 77030
Obstetrics & Gynecology
ONE BAYLOR PLAZA, BCM610
HOUSTON, TX 77030
Pediatrics
ONE BAYLOR PLAZA, BCM 320
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
ONE BAYLOR PLAZA, BAYLOR COLLEGE OF MEDICINE
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
ONE BAYLOR PLAZA, MAIL STOP BCM225
HOUSTON, TX 77030
Internal Medicine (Infectious Disease)
ONE BAYLOR PLAZA, BCM -- DEPT. OF MEDICINE, MS: BCM-285
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
ONE BAYLOR PLAZA, DEPARTMENT OF MOLECULAR AND HUMAN GENETICS, BAYLOR COLL
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
ONE BAYLOR PLAZA
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
ONE BAYLOR PLAZA
HOUSTON, TX 77030
Allergy & Immunology
ONE BAYLOR PLAZA, BCM620
HOUSTON, TX 77030
Pediatrics (Pediatric Cardiology)
ONE BAYLOR PLAZA, BCM 320
HOUSTON, TX 77030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043567571, enumerated as an "individual" on August 15, 2012.

The provider is located at ONE BAYLOR PLAZA HOUSTON, TX 77030 and the phone number is (832) 826-6230.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.