Olaguoke K Akinwande, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

2016010164 Issued in MO

Practice address

12855 N 40 Dr Ste 205
Saint Louis, MO 63141-8670

Phone

(314) 255-2204

Fax

(866) 623-8346

NPI assigned

Aug 25, 2009

Last updated

Jun 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

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 2

Specialty

Interventional RadiologyAlso: Radiation Oncology, Vascular Surgery

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gomelb Vascular LLCGroup PAC ID 2668713884, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.4 of 100Reported as individual

Quality

54.95

Improvement activities

40

Cost

77.06

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olaguoke.akinwande.1@19245.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gomelb Vascular LLC

  dba Midwest Institute for Non-surgical Therapy

  • Vascular Specialist/Technologist Cardiovascular
  • Saint Louis, MO
  • NPI 1588146211

  IL

  Medicare reassignment Care Compare group Authorized official
• USA Radiology Management Solutions LLC

  • Diagnostic Radiology Physician
  • Rolla, MO
  • NPI 1689091076
  Medicare reassignment NPD
• USA Radiology of Pennsylvania, LLC

  • Body Imaging Physician
  • Meadville, PA
  • NPI 1164907655

  MO

  Medicare reassignment NPD
• Kirkwood Vascular and Surgical Institute, LLC

  • Ambulatory Surgical Clinic/Center
  • Kirkwood, MO
  • NPI 1033090964
  Authorized official Same address or phone
• Center for Advanced Foot & Ankle Surgery Inc

  dba MO Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
  • NPI 1174595409
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1235362252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418670",
            "telephone_number": "314-225-2204",
            "fax_number": "866-623-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418670",
            "telephone_number": "314-255-2204",
            "fax_number": "866-623-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINWANDE",
        "first_name": "OLAGUOKE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2016010164",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2016010164",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235362252",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calvin Akins
• Katie Lee Akins, RPH
• Kawana Akins
• Susan Jane Akins, MSN RN BC AP MHCNS
• Olaronke A. Akintola-Ogunremi, M.D.
• Tammara Akpore
• Siddique Tanzeem Akram, MD
• Harsha Venkata Akula Mogalapalli, MD
• Wisam Hassan Ali Al Badr, M.D.
• Ali Al Balushi, M.D.

• Vascular & Interventional Radiology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Vascular & Interventional Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.