DR. RICHARD FUMITSUGU ARAKAKI MD
NPI 1093702656
Internal Medicine - Endocrinology, Diabetes & Metabolism in Phoenix, AZ

NPI Status: Active since September 29, 2005

Contact Information

4212 N 16TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 263-1200
Fax: (602) 200-5383

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  • Individual
  • Male
  • Years of Experience 45
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RICHARD ARAKAKI

This page provides the complete NPI Profile along with additional information for Richard Arakaki, an internist established in Phoenix, Arizona with a medical specialization in Internal Medicine, focusing in endocrinology, diabetes & metabolism and more than 45 years of experience. The healthcare provider is registered in the NPI registry with number 1093702656 assigned on September 2005. The practitioner's primary taxonomy code is 207RE0101X with license number MD7211 (HI). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1093702656
Provider Name
DR. RICHARD FUMITSUGU ARAKAKI MD
Gender
Male
Entity Type
Individual
Location Address
4212 N 16TH ST PHOENIX, AZ 85016
Location Phone
(602) 263-1200
Location Fax
(602) 200-5383
Mailing Address
PO BOX 31001-0698 PASADENA, CA 91110
Mailing Phone
(602) 263-1200
Mailing Fax
(602) 200-5383
Medical School Name
OTHER
Graduation Year
1982
Is Sole Proprietor?
Yes
Enumeration Date
09-29-2005
Last Update Date
07-29-2015
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An internist like Richard Arakaki is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
License No.
MD7211
License State
HI
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Insurance Plans Accepted

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

  • HMSA Bronze PPO I - PPO
  • HMSA Bronze PPO II HSA - PPO
  • HMSA Catastrophic Plan - PPO
  • HMSA Gold PPO I - PPO
  • HMSA Gold PPO II - PPO
  • HMSA Platinum PPO - PPO
  • HMSA Silver PPO - PPO

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
059993MEDICAID (05)HI 
V0079656OTHER (01)HIHMSA
B94734MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Richard Arakaki 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.

Richard Arakaki 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: 6709068729

    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: I20150617000498

    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

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.92 for a new patient copayment and $24.5 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 85016 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $127.71
  • Minimum New Patient Price $55.44
  • Maximum New Patient Price $168.6
  • Average New Patient Copayment $31.92
  • Minimum New Patient Copayment $13.86
  • Maximum New Patient Copayment $42.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $137.41
  • Average Established Patient Copayment $24.5
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $34.35

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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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 1093702656, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
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 9 → 18 → 9 7 → 14 → 5 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 1 + 4 + 0 + 4 + 6 + 1 + 0 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1093702656.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Nurse Practitioner (Obstetrics & Gynecology)
4212 N 16TH ST
PHOENIX, AZ 85016
Pharmacist
4212 N 16TH ST, PHARMACY
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Physician Assistant (Medical)
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Dentist (General Practice)
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Optometrist
4212 N 16TH ST
PHOENIX, AZ 85016
Optometrist
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Emergency Medicine
4212 N 16TH ST, EMERGENCY DEPARTMENT
PHOENIX, AZ 85016
Otolaryngology
4212 N 16TH ST
PHOENIX, AZ 85016
Otolaryngology
4212 N 16TH ST
PHOENIX, AZ 85016
Nurse Practitioner (Obstetrics & Gynecology)
4212 N 16TH ST
PHOENIX, AZ 85016
Audiologist
4212 N 16TH ST
PHOENIX, AZ 85016
Anesthesiology
4212 N 16TH ST
PHOENIX, AZ 85016
Internal Medicine (Rheumatology)
4212 N 16TH ST
PHOENIX, AZ 85016
Advanced Practice Midwife
4212 N 16TH ST, OB/GYN DEPARTMENT
PHOENIX, AZ 85016
Dentist (Dental Public Health)
4212 N 16TH ST, DENTAL
PHOENIX, AZ 85016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093702656, enumerated as an "individual" on September 29, 2005.

The provider is located at 4212 N 16TH ST PHOENIX, AZ 85016 and the phone number is (602) 263-1200.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.

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