Abiodun Enitan Akisanya, MD
Individual provider Active NPI Pediatrics Physician · Harlan, KY
NPI 1295960391 · NPPES record last updated Jul 23, 2026
Key facts
- NPI
- 1295960391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 42310 (KY)
- Practice address
- 37 Ball Park Rd
Harlan, KY 40831-1701 - Phone
- (606) 573-8420
- NPI assigned
- May 19, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Appalachian Regional Healthcare Inc
Practice addresses (Care Compare)
Harlan, KY 40831
Phone (606) 573-4520
37 Ball Park Rd
Harlan, KY 40831-1701
Phone (606) 573-4520
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.15 of 100
- Quality
- 47.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090828000156 | KY | Practitioner - Pediatric Medicine | 7315092210 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42310 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current |
Accepting new patients | |
| Appalachian Regional Healthcare, Inc. | Past | Accepting new patients | |
| Appalachian Regional Healthcare, Inc. | Past | Accepting new patients |
Locations
37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900
81 Ball Park Rd
Harlan, KY 40831
Phone (606) 573-8100
Interoperability endpoints
- abiodunakisanya@arh.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 42310 | KY | Yes |
Addresses
Primary practice location
37 Ball Park Rd
Harlan, KY 40831-1701
Mailing address
37 Ball Park Rd
Harlan, KY 40831-1701
Phone (606) 573-8420
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abiodunakisanya@arh.medalliesdirect.net | Direct |
Other providers in Harlan, KY
- Rosetta Denise Abraham
- Amir Ahmad
- Masuda Ahmad
- Nazneen Ahmed
- Air Evac EMS Inc.
- All American Oxygen, Inc
- Angel Dental LLC
- Kendan Angel
- Appalachian Community Care LLC
- Appalachian Regional Healthcare Inc
All providers in Harlan, KY · Pediatrics Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.