Yusuf Abiodun Opakunle, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD001345 Issued in GA

Practice address

600 Professional Dr Ste 130
Lawrenceville, GA 30046-7638

Phone

(770) 255-0434

Fax

(770) 255-0433

NPI assigned

Jun 23, 2017

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 SC, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFBCCD/Endpoint/CFBCCD

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.

• Lawrenceville Foot and Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Lawrenceville, GA
  • NPI 1235747031
  Medicare reassignment NPD
• Keyoka S Smith DPM LLC

  • Podiatric Clinic/Center
  • Columbia, SC
  • NPI 1164816211
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Lawrenceville, GA
  • NPI 1952340994
  Care Compare affiliation

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1194245894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DR STE 130",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467638",
            "telephone_number": "770-255-0434",
            "fax_number": "770-255-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DR STE 130",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467638",
            "telephone_number": "770-255-0434",
            "fax_number": "770-255-0433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 SE Main St",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "29681",
            "country_code": "US",
            "telephone_number": "864-399-9070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 SE Main St",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "29681",
            "country_code": "US",
            "telephone_number": "864-399-9070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 SE Main St",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "29681",
            "country_code": "US",
            "telephone_number": "864-399-9070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1012 Medical Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "SC",
            "postal_code": "293254542",
            "country_code": "US",
            "telephone_number": "864-399-1086",
            "fax_number": "864-399-1085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPAKUNLE",
        "first_name": "YUSUF",
        "middle_name": "ABIODUN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "682",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ime Otu Onofiok, PHARM D
• Richard Ameh Onoja, DNP
• Agwu O Onuoha, M.D.
• Evelyn Akoth Onuoha
• Chibuogwu Ifeoma Onyegbule, NP
• Ada Opara
• Winifred Opare
• Open Arms Solutions LLC
• Open MRI of Georgia, Inc
• Bertha Opoku Peprah, FNP

• Foot & Ankle Surgery Podiatrist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.