Active NPI
Akinobu Itoh, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD18439
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110181787A | Medicaid | MA | |
| 3143903 | Medicaid | NH | |
| 200002509 | Medicaid | MO |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Mass General Brigham Home Care, Inc
- Brigham and Women'S Hospital
- Kent County Memorial Hospital
- Barnes Jewish Hospital
- Mercy Hospital Southeast
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 30 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Mercy Clinic Cardiovascular and Thoracic Surgery, LLC | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Affinity Physicians LLC | Current | Accepting new patients | |
| Boston University General Surgical Associates, Inc.-QMC | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Southeast Missouri Hospital Physicians, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Kent County Memorial Hospital | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Mercy Clinic Cardiovascular and Thoracic Surgery, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Affinity Physicians LLC. | Current | Accepting new patients | |
| Kent County Memorial Hospital | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Boston University General Surgical Associates, Inc. | Current | 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
- aitoh@kent.cernerdirect.carene.org
- aitoh@direct.carene.org
- aitoh239171@direct.bmc.masshiway.net
- 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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Surgery Physician
- Boston, MA
- NPI 1104865567
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Saint Louis, MO
- NPI 1538181466
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Podiatrist
- Quincy, MA
- NPI 1396041356
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newton, MA
- NPI 1083644017
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
-
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.