Adewunmi Abiodun Akande, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

9701215 Issued in NC

Practice address

10035 Park Cedar Dr Ste 100
Charlotte, NC 28210-8910

Phone

(704) 526-0091

Fax

(980) 237-6858

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gestalt Pain Consultants

  • Interventional Pain Medicine Physician
  • Charlotte, NC
  • NPI 1447726989
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1063405306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10035 PARK CEDAR DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108910",
            "telephone_number": "704-526-0091",
            "fax_number": "980-237-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10035 PARK CEDAR DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108910",
            "telephone_number": "704-526-0091",
            "fax_number": "980-237-6858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10504 Park Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108405",
            "country_code": "US",
            "telephone_number": "704-364-7727",
            "fax_number": "704-367-9174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKANDE",
        "first_name": "ADEWUNMI",
        "middle_name": "ABIODUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "9701215",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "9701215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gbemisola Ofure Ajibade
• Olafunke Ajijola, PHARM.D.
• Ak Counseling, PLLC
• Aka Professional Services LLC
• Felicia Aka
• Akash M. Aghera, DMD, PLLC
• Katherine Elizabeth Akeley, MD
• Astra L Aker, RT
• Kenna Brooke Aker, PA
• Chantel Akers

• Pain Medicine (Anesthesiology) Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pain Medicine (Anesthesiology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.

Verify at the official NPI Registry.