Charles Okechukwu Dike, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

46539 Issued in MN

Practice address

1680 Diagonal Rd
Worthington, MN 56187-1008

Phone

(507) 372-3800

NPI assigned

Nov 9, 2009

Last updated

Jun 6, 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Merit-based Incentive Payment System (MIPS)

Final score

85.53 of 100Reported as group

Quality

80.98

Promoting interoperability

100

Improvement activities

40

Cost

70.78

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cdike545075@direct.sanfordhealth.org

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.

• Sanford Health Network

  dba Sanford Jackson Medical Center

  • Critical Access Hospital
  • Jackson, MN
  • NPI 1326069097
  Medicare reassignment NPD
• Sanford Clinic

  dba Sanford Vascular Associates

  • Surgery Physician
  • Sioux Falls, SD
  • NPI 1194733535

  MN

  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Clinic Windom

  • Rural Health Clinic/Center
  • Windom, MN
  • NPI 1699772178
  NPD
• Sanford Health Network

  dba Sanford Clinic Tracy

  • Family Medicine Physician
  • Tracy, MN
  • NPI 1699869875
  NPD
• Sanford Clinic

  dba Sanford Virtual Health Services

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1306641345
  NPD
• Southshore Operations, LLC

  dba South Shore Care Center

  • Skilled Nursing Facility
  • Worthington, MN
  • NPI 1720441488
  NPD (past)

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1003143256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "507-372-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 DIAGONAL RD",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871008",
            "telephone_number": "507-372-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKE",
        "first_name": "CHARLES",
        "middle_name": "OKECHUKWU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-09",
        "last_updated": "2022-06-06",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "46539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdike545075@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "1680 Diagonal Rd",
            "city": "Worthington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "561871008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Dekam, PHARM.D.
• Rachael R Dekker, CNP, CRNA
• Darlene Renee Dewitt, RD
• Diagnostic Radiologic Imaging PA
• Diane Dunn, LLC
• Nichole Marie Dillon
• James Michael Donohue, M.D.
• Gayatri Doshi, PMHNP
• David Dragas, MD
• Diane Kaye Dunn, LICSW

• Family Medicine Physician in Worthington, MN
• Providers in Worthington, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.