SAMUEL AKIDIVA (MD) – Internal Medicine Physician, NPI 1447562152
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
366 HOSPITALIST in KS
Provider Addresses for SAMUEL AKIDIVA (MD)
PO BOX 1358
WICHITA, KS 672011358
Phone: (316) 293-3429
Fax: (316) 293-1882
Type: Mailing
1010 N KANSAS ST
WICHITA, KS 672143124
Phone: (316) 293-1840
Fax: (316) 293-1866
Type: Location
1001 N MINNEAPOLIS ST
WICHITA, KS 672143127
Phone: (316) 293-1840
Fax: (316) 293-1866
Type: Location
929 N Saint Francis Ave
Wichita, KS 672143821
Phone: (316) 293-2611
Fax: (316) 293-1882
Type: Location
3600 E Harry St
Wichita, KS 672183713
Phone: (316) 293-2611
Fax: (316) 293-1882
Type: Location
550 N Hillside St
Wichita, KS 672144910
Phone: (316) 293-2611
Fax: (316) 293-1882
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $70.
Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.
Last reported payment date: 2024-07-16 • Largest payer in this snapshot: ABBVIE INC. ($53).
Total Amount
$70
General + Research + Ownership
Payments
4
Total payment records
General Amount
$70
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $53 |
| Janssen Pharmaceuticals, Inc | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-11-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (921 days ago).
Enrollment records
1
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131101000032 | I | Hospitalist | KS | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 895 | 331 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 381 | 169 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 274 | 258 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 181 | 173 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 113 | 106 | $0 |
Insurance plans in this area (ZIP 67201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OH | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| - | KS | |
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| Hospitalist, Family Practice | KS | |
| General Surgery, Undersea And Hyperbaric Medicine | KS | |
| Physician Assistant | NY |
Reviews
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