Active NPI
Patrick Ikemefuna Okolo III, MD MPH
- Gastroenterology Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 286049
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162371100 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | patrick.okolo@rochesterregional.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161108001753 | NY | Practitioner - Gastroenterology | 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
Practice addresses (Care Compare)
3 Riverside Cir
Roanoke, VA 24016-4955
Phone (540) 224-5170
Hospital & facility affiliations
- Sonoma Valley Hospital
- Carilion Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 15 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 37 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0046334 | MD | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| United Memorial Medical Center | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| United Memorial Medical Center | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Current | 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
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
- Home Health Agency
- Roanoke, VA
- NPI 1073506002
-
- Durable Medical Equipment & Medical Supplies
- Rocky Mount, VA
- NPI 1154132280
-
- Psychiatric Hospital Unit
- Roanoke, VA
- NPI 1154307155
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.