Organization Active NPI

Okons&O Medical Services PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
National Provider Identifier
1003535881
Registry record updated Mar 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
OKONS&O MEDICAL SERVICES PLLC
Practice address
17070 Red Oak Dr Ste 403
Houston, TX 77090-2609
Phone
(281) 836-5691
Fax
(281) 836-5692
NPI assigned
Aug 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2024

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

Authorized official

Name
Dr. Nzube Okonkwo, MDNPI 1154708022
Title
Owner
Phone
(773) 600-4675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

17070 Red Oak Dr Ste 403
Houston, TX 77090-2609

Mailing address

17070 Red Oak Dr Ste 403
Houston, TX 77090-2609
Phone (773) 600-4675

Other practice location 1

901 N Porter Ave
Norman, OK 73071-6404
Phone (405) 506-9101

Other identifiers 2

IdentifierTypeStateIssuer
35061OtherOKOK MEDICAL LICENSE
T4811OtherTXTX MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221219002564 OK Part B Supplier - Clinic/Group Practice 3476922196 Receives reassigned benefits from 1 practitioner
Practice locations: Norman, OK
O20230327001174 TX Part B Supplier - Clinic/Group Practice 3476922196 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710633600000",
    "number": "1003535881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR STE 403",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902609",
            "telephone_number": "773-600-4675",
            "fax_number": "281-836-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR STE 403",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902609",
            "telephone_number": "281-836-5691",
            "fax_number": "281-836-5692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Porter Ave",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730716404",
            "country_code": "US",
            "telephone_number": "405-506-9101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OKONS&O MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "OKONKWO",
        "authorized_official_first_name": "NZUBE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-600-4675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK MEDICAL LICENSE",
            "identifier": "35061",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAL LICENSE",
            "identifier": "T4811",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.