DR. AI SAKONJU M.D.
NPI 1902959323
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Salt Lake City, UT

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
88.32/100
CMS Quality Rating
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 587-7575(801) 662-5696 Get Directions Write a Review

NPPES record last updated: August 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ai Sakonju M.d. NPPES

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

DR. AI SAKONJU M.D. (NPI 1902959323) is an individual neurology with special qualifications in child neurology provider in Salt Lake City, Utah, licensed in Maryland (P17236) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2001).

NPPES Registry Identity

NPI1902959323
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameDR. AI SAKONJUCredential: M.D.
Location Address100 MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing AddressSuny Upstate Medical University, 750 East Adams Street, Dept. Of NeurologySyracuse, NY 13210 · (315) 464-5302 · Fax (315) 464-7328
Fax(801) 662-5696
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2001
Enumeration DateJanuary 19, 2007
Last NPPES UpdateAugust 7, 2017
NPI 1902959323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License Licensed in MD · P17236
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
100 MARIO CAPECCHI DR, Salt Lake City, UT 84113

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

Dr. Ai Sakonju M.d. 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 ID1850450289
PECOS Enrollment IDI20161101001303
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 84113 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

88.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.48
Promoting Interoperability100
Improvement Activities40
Cost53.73

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.

Pediatrics
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Anesthesiology (Pediatric Anesthesiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Neonatal, Critical Care)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Gastroenterology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Dietitian, Registered (Nutrition, Metabolic)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Critical Care Medicine)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Cardiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

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 Ai Sakonju's NPI number?

The NPI number for Ai Sakonju is 1902959323. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Ai Sakonju located?

Ai Sakonju practices at 100 Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 587-7575.

What is Ai Sakonju's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Ai Sakonju enrolled in Medicare?

Yes. Ai Sakonju 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.

When was this NPI record last updated?

The NPPES record for Ai Sakonju was last updated on August 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.