ANSLEM O OPITOKE (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1902095128

ANSLEM O OPITOKE (M.D.) is a healthcare provider. based in Kirkland, Washington. specializing in GERIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 231032 (MA). The NPI Number for ANSLEM O OPITOKE (M.D.) is 1902095128

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
ANSLEM O OPITOKE (M.D.)
NPI
1902095128
Phone
(425) 899-6800
Address
1521 NE 128TH ST STE 100
Enumeration Date
24 October 2007
Last Update Date
16 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
0042308611
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20150724010321
Address ID
IL600268001GL2600XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

107 GERIATRIC MEDICINE in WA

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Provider Addresses for ANSLEM O OPITOKE (M.D.)

  • Northeast 128th Street, Kirkland, King County, Washington, 98034-7114, United States

    KIRKLAND, WA 98101

    Phone: (425) 899-6800

    Fax: (425) 899-6818

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150724010321IGeriatric MedicineWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes585275$0
99214Established patient office or other outpatient visit, 30-39 minutes284186$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8686$0
99205New patient office or other outpatient visit, 60-74 minutes6161$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a4739$0
View full utilization report →

Insurance plans in this area (ZIP 98101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032020490View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANSLEM O OPITOKE (M.D.)?
ANSLEM O OPITOKE (M.D.) — NPI 1902095128 — is the standard way to identify this listing.
Does CMS list ANSLEM O OPITOKE (M.D.) as active?
Yes — ANSLEM O OPITOKE (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes ANSLEM O OPITOKE (M.D.)?
For research purposes, treat ANSLEM O OPITOKE (M.D.) as Geriatric Medicine (Internal Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is ANSLEM O OPITOKE (M.D.) based?
ANSLEM O OPITOKE (M.D.) is tied to Kirkland, Washington in the data we show; additional addresses may exist on the full record.
Why does ANSLEM O OPITOKE (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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