KAGEN IKAIKA AEBY (MD) – Emergency Medicine Physician, NPI 1053042820

KAGEN IKAIKA AEBY (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MT226909 (PA). The NPI Number for KAGEN IKAIKA AEBY (MD) is 1053042820

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KAGEN IKAIKA AEBY (MD)
NPI
1053042820
Phone
(484) 622-0481
Address
5501 OLD YORK RD
Enumeration Date
22 June 2022
Last Update Date
22 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8083389431
Graduation Year
2022 (4 years ago)
PAC ID
7517450307
Group Practice PAC ID
2860390283
Professional Enrollment ID
I20251201002243
Address ID
HI967960000WA4643XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

Provider Addresses for KAGEN IKAIKA AEBY (MD)

  • 5501 OLD YORK RD

    PHILADELPHIA, PA 191413018

    Phone: (484) 622-0481

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-10-10 • Largest payer in this snapshot: CSL Behring ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$27
View all Open Payments →|Open Payments Risk Radar →

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: 2025-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251201002243IEmergency MedicineHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19141)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860390283View full group profile
NameSpecialtyState
Emergency MedicineCA
Nurse PractitionerGA
Emergency MedicineHI
Emergency MedicineCE
Emergency Medicine, Internal MedicinePA
Emergency MedicineTX
Emergency MedicineHI
Emergency MedicineOH
Emergency MedicineHI
Emergency MedicineAZ

Reviews

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Frequently asked questions

What unique ID ties claims to KAGEN IKAIKA AEBY (MD)?
NPI 1053042820 is assigned to KAGEN IKAIKA AEBY (MD) under the national enumeration system.
Is KAGEN IKAIKA AEBY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KAGEN IKAIKA AEBY (MD)'s specialty in plain language?
Clinically, the directory lists KAGEN IKAIKA AEBY (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place KAGEN IKAIKA AEBY (MD)?
The snapshot lists Philadelphia, Pennsylvania for KAGEN IKAIKA AEBY (MD); download NPPES for the complete set.
How can I contact KAGEN IKAIKA AEBY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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