Individual provider Active NPI

Ikenna Anaka, M.D.

  • Gastroenterology Physician
  • York, PA
National Provider Identifier
1265791412
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD464083 Issued in PA
Practice address
2350 Freedom Way Ste 200
York, PA 17402
Phone
(717) 812-5120
Fax
(717) 741-3075
NPI assigned
May 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD464083 PA Primary

Addresses

Primary practice location

2350 Freedom Way Ste 200
York, PA 17402

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-5120

Other practice location 1

795 Cherry Tree Ct Ste 2
Hanover, PA 17331-7900
Phone (800) 213-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180619001523 PA Practitioner - Gastroenterology 4789987975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

2350 Freedom Way
200 Wellspan Digestive Health
York, PA 17402-8200
Phone (717) 812-5120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy91
Upper gastrointestinal (GI) endoscopy for acid reflux105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD464083PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Gastroenterology Current Accepting new patients
Wellspan Medical Group CurrentSince Aug 6, 2018 Accepting new patients
Wellspan Medical Group CurrentSince Aug 6, 2018 Accepting new patients

Locations

795 Cherry Tree Ct
Ste 2
Hanover, PA 17331
Phone (717) 637-3414

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1001 S George St
York, PA 17403
Phone (717) 812-7687

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

2350 Freedom Way
Ste 200
York, PA 17402
Phone (717) 812-5120

Interoperability endpoints

  • Direct secure messaging: ianaka137191@wellspan.direct-ci.com

Organizations & group practices 3

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1265791412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-812-5120",
            "fax_number": "717-741-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 FREEDOM WAY STE 200",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-812-5120",
            "fax_number": "717-741-3075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 Cherry Tree Ct Ste 2",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173317900",
            "country_code": "US",
            "telephone_number": "800-213-3150",
            "fax_number": "717-637-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANAKA",
        "first_name": "IKENNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD464083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.