Individual provider Active NPI

Oke Adrian Anakwenze, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Diego, CA
National Provider Identifier
1043418759
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A126807 Issued in CA
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

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190417001953 NC Practitioner - Orthopedic Surgery 7012133523 Reassigns benefits to 1 organization

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
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

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 Hospital, Durham, NC, CCN 340030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT190910PAMDOrthopaedic Surgery Physician
A126807CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 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

  • Direct secure messaging: 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": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.