Individual provider Active NPI

Akinobu Itoh, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Boston, MA
National Provider Identifier
1396005211
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD18439 Issued in RI
Practice address
830 Harrison Avenue, Ste 3400
Moakley BLDG.
Boston, MA 02118-2905
Phone
(617) 414-8060
Fax
(617) 414-8012
NPI assigned
May 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 290316 MA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2015041384 MO
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD18439 RI Primary

Addresses

Primary practice location

830 Harrison Avenue, Ste 3400
Moakley BLDG.
Boston, MA 02118-2905

Mailing address

960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690

Other practice location 1

732 Harrison Avenue, 3rd Floor West
Preston Bldg.
Boston, MA 02118-2309
Phone (617) 638-8488

Other practice location 2

55 Fruit St
Boston, MA 02114-2621
Phone (617) 643-9745

Other practice location 3

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 681-4996

Other identifiers 3

IdentifierTypeStateIssuer
110181787AMedicaidMA
3143903MedicaidNH
200002509MedicaidMO

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University
Direct Messaging Address aitoh@kent.cernerdirect.carene.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MA, RI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130313000060 MO Practitioner - Cardiac Surgery 9133374499 Reassigns benefits to 3 organizations
I20220126000889 MA Practitioner - Cardiac Surgery 9133374499 Reassigns benefits to 4 organizations
I20220602002197 RI Practitioner - Thoracic Surgery 9133374499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

1723 Broadway St
Suite 210
Cape Girardeau, MO 63701-4556
Phone (537) 331-7841

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)30
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc CurrentSince Aug 1, 2024 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC CurrentSince Jun 24, 2024 Accepting new patients
Saint Francis Medical Center CurrentSince Dec 1, 2021 Accepting new patients
Affinity Physicians LLC CurrentSince Jun 27, 2022 Accepting new patients
Boston University General Surgical Associates, Inc.-QMC CurrentSince Dec 1, 2023 Accepting new patients
Saint Francis Medical Center CurrentSince Dec 1, 2021 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 1, 2019 Accepting new patients
Kent County Memorial Hospital CurrentSince Jun 27, 2022 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Jan 1, 2022 Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 24, 2024 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Affinity Physicians LLC. CurrentSince Jun 27, 2022 Accepting new patients
Kent County Memorial Hospital CurrentSince Jun 27, 2022 Accepting new patients
The General Hospital Corporation CurrentSince Aug 1, 2024 Accepting new patients
Boston University General Surgical Associates, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Brigham & Womens Hospital, Inc. Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

75 Francis St
#360U2
Boston, MA 02115

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

732 Harrison Ave
Fl 3
Boston, MA 02118
Phone (617) 638-5350

75 Francis St
Boston, MA 02115

732 Harrison Ave
Fl 5
Boston, MA 02118
Phone (617) 414-6840

960 Massachusetts Ave
Ste 2
Boston, MA 02118

254 2nd Ave
Ste 100
Needham Heights, MA 02494
Phone (781) 416-8412

1723 Broadway St
Ste 210
Cape Girardeau, MO 63701
Phone (573) 331-7840

3250 Gordonville Rd
Ste 358
Cape Girardeau, MO 63703
Phone (573) 331-3155

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

10012 Kennerly Rd
Ste 101
Saint Louis, MO 63128
Phone (314) 525-4325

625 S New Ballas Rd
#R7040
Saint Louis, MO 63141

111 Brewster St
Pawtucket, RI 02860
Phone (401) 729-2000

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: aitoh@kent.cernerdirect.carene.org
  • Direct secure messaging: aitoh@direct.carene.org
  • Direct secure messaging: aitoh239171@direct.bmc.masshiway.net
  • Direct secure messaging: itoh.akinobu.bwh@direct.partners.masshiway.net

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1396005211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVENUE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 HARRISON AVENUE, STE 3400",
            "address_2": "MOAKLEY BLDG.",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182905",
            "telephone_number": "617-414-8060",
            "fax_number": "617-414-8012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "732 Harrison Avenue, 3rd Floor West",
            "address_2": "Preston Bldg.",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182309",
            "country_code": "US",
            "telephone_number": "617-638-8488",
            "fax_number": "617-638-8489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-643-9745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "401-681-4996",
            "fax_number": "401-921-6569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITOH",
        "first_name": "AKINOBU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "290316",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2015041384",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "RI",
            "license": "MD18439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110181787A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3143903",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002509",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1 Childrens Pl",
            "address_2": "Div Surg CT Adult Cardio",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aitoh@kent.cernerdirect.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "455 Toll Gate Rd",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028862759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.