Ijeoma Victoria Okonkwo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R242735 Issued in MD

Practice address

6480 Old Waterloo Rd
Elkridge, MD 21075-6508

Phone

(410) 799-0291

NPI assigned

Sep 29, 2020

Last updated

Jan 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Call Medical Center LLCGroup PAC ID 5496091290, 28 clinicians

Centennial Medical Group, PAGroup PAC ID 2668466038, 34 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.96 of 100Reported as group

Quality

95.33

Improvement activities

40

Cost

69.43

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Centennial Medical Group, PA

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1134235039

  Single Specialty

  Medicare reassignment Care Compare group NPD
• First Call Medical Center LLC

  dba First Call Urgent Care

  • Urgent Care Clinic/Center
  • Laurel, MD
  • NPI 1841680766

  Single Specialty

  Medicare reassignment Care Compare group NPD
• First Call Medical Center LLC

  • Urgent Care Clinic/Center
  • Burtonsville, MD
  • NPI 1922877851

  DC, Single Specialty

  Medicare reassignment NPD
• Medical Maryland Star Choice LLC

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1770190647

  Single Specialty

  Medicare reassignment NPD
• MNR Industries, LLC

  dba ExpressCare of Bowie

  • Urgent Care Clinic/Center
  • Bowie, MD
  • NPI 1093130924

  DC, Single Specialty

  Medicare reassignment NPD
• Centennial Medical Group, PA

  • Family Medicine Physician
  • Ellicott City, MD
  • NPI 1245953009

  Single Specialty

  NPD
• Centennial Medical Group, PA

  • Family Medicine Physician
  • Clarksville, MD
  • NPI 1336918275
  NPD
• First Call Medical Center LLC

  • Urgent Care Clinic/Center
  • Columbia, MD
  • NPI 1962269845
  NPD
• MNR Industries LLC

  dba ExpressCare of Mount Airy

  • Urgent Care Clinic/Center
  • Mount Airy, MD
  • NPI 1073963146

  Single Specialty

  NPD
• MNR Industries, LLC

  dba ExpressCare of Largo

  • Urgent Care Clinic/Center
  • Upper Marlboro, MD
  • NPI 1194195008
  NPD
• MNR Industries, LLC

  dba ExpressCare of Urbana

  • Urgent Care Clinic/Center
  • Frederick, MD
  • NPI 1215648829
  NPD
• MNR Industries, LLC

  dba ExpressCare of Bel Air

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1457478703

  Single Specialty

  NPD

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1023625381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 OLD WATERLOO RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756508",
            "telephone_number": "410-799-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 OLD WATERLOO RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756508",
            "telephone_number": "410-799-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "IJEOMA",
        "middle_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R242735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of the Southwest P.a. (Advanced Medical Specialist-AMS BAL Jessup)
• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
• Nsima Stephanie Ogar
• Sarah K Oh, RPH
• Michelle Ohonba
• Olayemi Ebenezer Olajuyigbe, CRNP-PMH
• Oreoluwa O Olajuyigbe
• Taiwo Olasehinde
• Olive Tree Nutrition LLC
• Abolanle M Oloyede

• Family Nurse Practitioner in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.