Individual provider Active NPI

Patrick Ikemefuna Okolo III, MD MPH

  • Gastroenterology Physician
  • Rochester, NY
National Provider Identifier
1003835299
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
286049 Issued in NY
Practice address
800 Carter St FL 2
Rochester, NY 14621
Phone
(585) 922-4136
Fax
(585) 922-5761
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0046334 MD
Gastroenterology Physician 207RG0100X 286049 NY Primary

Addresses

Primary practice location

800 Carter St FL 2
Rochester, NY 14621

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-4136

Other practice location 1

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4136

Other practice location 2

80 West Ave Ste 203
Brockport, NY 14420-1309
Phone (585) 637-8580

Other practice location 3

800 Carter St Fl 2
Rochester, NY 14621
Phone (585) 922-4136

Other practice location 4

1065 Senator Keating Blvd
Rochester, NY 14618-2600
Phone (585) 922-4136

Other identifiers 1

IdentifierTypeStateIssuer
162371100MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patrick.okolo@rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161108001753 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 0749287530 Reassigns benefits to 6 organizations
I20241021004300 VA Practitioner - Gastroenterology 0749287530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Medical Center 956 clinicians

Practice addresses (Care Compare)

3 Riverside Cir
Roanoke, VA 24016-4955
Phone (540) 224-5170

Hospital & facility affiliations

  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Upper gastrointestinal (GI) endoscopy for acid reflux37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0046334MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Oct 7, 2019 Accepting new patients
Newark Wayne Community Hospital CurrentSince Mar 5, 2024 Accepting new patients
Carilion Medical Center CurrentSince Aug 2, 2024 Accepting new patients
United Memorial Medical Center Current Accepting new patients
Carilion Medical Center CurrentSince Aug 2, 2024 Accepting new patients
North Shore-Lij Medical PC CurrentSince Aug 31, 2016 Accepting new patients
Newark Wayne Community Hospital CurrentSince Mar 5, 2024 Accepting new patients
United Memorial Medical Center CurrentSince Apr 12, 2021 Accepting new patients
Rochester General Hospital CurrentSince Oct 7, 2019 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 7, 2019 Accepting new patients
Rochester General Hospital CurrentSince Oct 7, 2019 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Oct 7, 2019 Accepting new patients
Suri Karthikeyan MDPC Gastroenterology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

80 West Ave
Ste 203
Brockport, NY 14420
Phone (585) 637-8580

178 E 85th St
Fl 2
New York, NY 10028
Phone (212) 434-6776

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

300 Community Dr
Plandome, NY 11030

1425 Portland Ave
Bldg 1
Rochester, NY 14621
Phone (585) 338-1400

1065 Senator Keating Blvd
Rochester, NY 14618
Phone (585) 256-1330

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

3 Riverside Cir
Roanoke, VA 24016

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

Interoperability endpoints

  • Direct secure messaging: patrickokolo@nslijmedgr.allscriptsdirect.net

Organizations & group practices 23

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.

View all 23

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1003835299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CARTER ST FL 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-922-4136",
            "fax_number": "585-922-5761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-922-4136",
            "fax_number": "585-922-5761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 West Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Brockport",
            "state": "NY",
            "postal_code": "144201309",
            "country_code": "US",
            "telephone_number": "585-637-8580",
            "fax_number": "585-637-0471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Carter St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14621",
            "country_code": "US",
            "telephone_number": "585-922-4136",
            "fax_number": "585-922-5761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 Senator Keating Blvd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146182600",
            "country_code": "US",
            "telephone_number": "585-922-4136",
            "fax_number": "585-922-5761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOLO",
        "first_name": "PATRICK",
        "middle_name": "IKEMEFUNA",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0046334",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "286049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162371100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patrick.okolo@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1425 Portland Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.