Active NPI
Oke Adrian Anakwenze, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- A126807
- Practice address
- 3750 Convoy St Ste 201
San Diego, CA 92111-3770 - Phone
- (858) 300-2260
- Fax
- (858) 300-2260
- NPI assigned
- Jul 3, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MT190910 | PA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A126807 | CA | Primary |
Addresses
Primary practice location
3750 Convoy St Ste 201
San Diego, CA 92111-3770
Mailing address
3750 Convoy St 201
Olympic Orthopedics
San Diego, CA 92111-3770
Phone (858) 300-2260
Other practice location 1
2777 Jefferson St Ste 100
Carlsbad, CA 92008-1743
Phone (858) 300-2260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Mayo Medical School, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3475 Erwin Rd
Durham, NC 27705-0005
Phone (919) 684-8111
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
Hospital & facility affiliations
- Duke University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT190910 | PA | MD | Orthopaedic Surgery Physician |
| A126807 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients |
Locations
4709 Creekstone Dr
Ste 300
Durham, NC 27703
Phone (919) 660-5066
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
5601 Arringdon Park Dr
Ste 300
Morrisville, NC 27560
Phone (919) 660-5066
Interoperability endpoints
- oanakwenze420985@direct.medicine.duke.edu
Organizations & group practices 1
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.
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": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1043418759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 CONVOY ST 201",
"address_2": "OLYMPIC ORTHOPEDICS",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113770",
"telephone_number": "858-300-2260",
"fax_number": "858-569-1337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 CONVOY ST STE 201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113770",
"telephone_number": "858-300-2260",
"fax_number": "858-300-2260"
}
],
"practiceLocations": [
{
"address_1": "2777 Jefferson St Ste 100",
"address_purpose": "LOCATION",
"city": "Carlsbad",
"state": "CA",
"postal_code": "920081743",
"country_code": "US",
"telephone_number": "858-300-2260",
"fax_number": "858-278-1708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANAKWENZE",
"first_name": "OKE",
"middle_name": "ADRIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MT190910",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "A126807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.