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ROBERTO KENJI MITSUI AKAGI M.D.
NPI 1992150403
Internal Medicine - Endocrinology, Diabetes & Metabolism in Ashland, KY

Active since May 03, 2016PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
1200 CENTRAL AVE STE 3, ASHLAND, KY 41101(606) 325-1894(606) 325-9193 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2021, Jul 27, 2021, Jun 19, 2019 and 1 more (4 updates tracked since 2016).

About Roberto Kenji Mitsui Akagi M.d. NPPES

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

ROBERTO KENJI MITSUI AKAGI M.D. (NPI 1992150403) is an individual endocrinology, diabetes & metabolism provider in Ashland, Kentucky, licensed in Kentucky (55329) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992150403
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameROBERTO KENJI MITSUI AKAGICredential: M.D.
Location Address1200 CENTRAL AVE STE 3Ashland, KY 41101-7575
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-9571 · Fax (606) 408-6061
Phone(606) 325-1894
Fax(606) 325-9193
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 3, 2016
Last NPPES UpdateNovember 18, 20214 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
✔ NPI 1992150403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in KY · 55329
Definition
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.
1200 CENTRAL AVE STE 3, Ashland, KY 41101
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13722 South Harlem Avenue, Suite LL34, Macneal Center for Internal MedicineRiverside, IL 60546 · Phone (708) 783-6566 · Fax (708) 783-6567
Location 21249 15th St Fl 3Huntington, WV 25701-3662 · Phone (304) 691-1095

Other Identifiers 2

Medicaid71007677500KY
Medicaid0455067OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Roberto Kenji Mitsui Akagi 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 ID4082974472
PECOS Enrollment IDI20210813003171
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
441 services189 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
167 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
101 services101 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
94 services68 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers21 claims62 services$6.57 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers72 claims72 services$190.44 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
10 suppliers11 claims11 services$195.69 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

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

KINGS DAUGHTERS MEDICAL SPECIALTIES INC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1200 CENTRAL AVE STE 3
ASHLAND, KY 41101
Boyd County (606) 325-1894

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 Roberto Mitsui Akagi's NPI number?

The NPI number for Roberto Mitsui Akagi is 1992150403. It was assigned to this individual provider in the NPPES registry on May 3, 2016.

Where is Roberto Mitsui Akagi located?

Roberto Mitsui Akagi practices at 1200 Central Ave Ste 3, Ashland, KY 41101. The listed phone number is (606) 325-1894.

What is Roberto Mitsui Akagi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Roberto Mitsui Akagi enrolled in Medicare?

Yes. Roberto Mitsui Akagi 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 Roberto Mitsui Akagi accept?

Health plans from CareSource and Molina Healthcare list Roberto Mitsui Akagi 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.

Is Roberto Mitsui Akagi affiliated with any hospitals?

According to CMS data, Roberto Mitsui Akagi is affiliated with King's Daughters' Medical Center and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for Roberto Mitsui Akagi was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.