NPIMap

Individual provider Active NPI

Anslem O Opitoke, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Kirkland, WA
National Provider Identifier
1902095128
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
60555449 Issued in WA
Practice address
1521 NE 128TH St Ste 100
Kirkland, WA 98101
Phone
(425) 899-6800
Fax
(425) 899-6818
NPI assigned
Oct 24, 2007
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 231032 MA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 60555449 WA Primary
Hospitalist Physician 208M00000X 01099046A IN
Hospitalist Physician 208M00000X C5250 KY

Addresses

Primary practice location

1521 NE 128TH St Ste 100
Kirkland, WA 98101

Mailing address

1521 NE 128TH St Ste 100
Kirkland, WA 98101
Phone (425) 899-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724010321 WA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 0042308611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11521 NE 128TH St
Suite 100
Kirkland, WA 98034-4317
Phone (425) 899-6800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60555449WAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 Internal Medicine CurrentSince Jul 21, 2015 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Hsa Glenwood, LLC Past Accepting new patients
King County Public Hospital District No 2 Past Accepting new patients

Locations

11521 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-6800

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

12040 NE 128th St
#50
Kirkland, WA 98034
Phone (425) 899-1894

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1902095128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 NE 128TH ST STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98101",
            "telephone_number": "425-899-6800",
            "fax_number": "425-899-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 NE 128TH ST STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98101",
            "telephone_number": "425-899-6800",
            "fax_number": "425-899-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPITOKE",
        "first_name": "ANSLEM",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "231032",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "60555449",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01099046A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "C5250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.