Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ABIODUN ENITAN AKISANYA MD
NPI 1295960391
Pediatrics in Harlan, KY

Active since May 19, 2009PECOS Enrolled
97.4/100
CMS Quality Rating
37 BALL PARK RD, HARLAN, KY 40831(606) 573-8420 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abiodun Enitan Akisanya Md NPPES

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

ABIODUN ENITAN AKISANYA MD (NPI 1295960391) is an individual pediatrics provider in Harlan, Kentucky, licensed in Kentucky (42310) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1295960391
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameABIODUN ENITAN AKISANYACredential: MD
Location Address37 BALL PARK RDHarlan, KY 40831-1701
Mailing Address37 Ball Park RdHarlan, KY 40831-1701 · (606) 573-8420
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 19, 2009
Last NPPES UpdateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
NPI 1295960391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in KY · 42310
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
37 BALL PARK RD, Harlan, KY 40831

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Abiodun Enitan Akisanya 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 ID7315092210
PECOS Enrollment IDI20090828000156
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40831 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
37 BALL PARK RD
HARLAN, KY 40831
Nurse Practitioner (Family)
37 BALL PARK RD
HARLAN, KY 40831
Nurse Practitioner
37 BALL PARK RD
HARLAN, KY 40831
Nurse Practitioner (Acute Care)
37 BALL PARK RD
HARLAN, KY 40831
Internal Medicine
37 BALL PARK RD
HARLAN, KY 40831
Urology
37 BALL PARK RD
HARLAN, KY 40831
Surgery
37 BALL PARK RD
HARLAN, KY 40831
Pharmacy (Community/Retail Pharmacy)
37 BALL PARK RD
HARLAN, KY 40831

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 Abiodun Akisanya's NPI number?

The NPI number for Abiodun Akisanya is 1295960391. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Where is Abiodun Akisanya located?

Abiodun Akisanya practices at 37 Ball Park Rd, Harlan, KY 40831. The listed phone number is (606) 573-8420.

What is Abiodun Akisanya's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Abiodun Akisanya enrolled in Medicare?

Yes. Abiodun Akisanya 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.

What insurance does Abiodun Akisanya accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Abiodun Akisanya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Abiodun Akisanya was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.