Active NPI
Paul Obeng-Okyere, D.O
- Cardiovascular Disease Physician
- Miamisburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0102207269
- Practice address
- 2115 Leiter Rd
Miamisburg, OH 45342 - Phone
- (937) 384-6800
- Fax
- (937) 384-6938
- NPI assigned
- Apr 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 0102207269 | VA | Primary |
| Internal Medicine Physician | 207R00000X | 34.013217 | OH |
Addresses
Primary practice location
2115 Leiter Rd
Miamisburg, OH 45342
Mailing address
612 Kingsborough SQ
Ste 100
Chesapeake, VA 23320-5041
Phone (413) 652-8185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0285134 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Ohio University, College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
612 Kingsborough SQ
Suite 100
Chesapeake, VA 23320-5041
Phone (757) 547-9294
Hospital & facility affiliations
- Sentara Virginia Beach General Hospital
- Chesapeake General Hospital
- Sentara Princess Anne Hospital
- Sentara Norfolk General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102207269 | VA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Physician Services, PC | Multi-Specialty | Current | Accepting new patients |
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Bayview Medical Center, Inc | Past | Accepting new patients |
Locations
3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500
612 Kingsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 547-9294
2000 Meade Pkwy
Ste 195
Suffolk, VA 23434
4868 Bridge Rd
Ste 300
Suffolk, VA 23435
Phone (757) 483-7100
2075 Glenn Mitchell Dr
Ste 300
Virginia Beach, VA 23456
Phone (757) 821-2825
1708 Old Donation Pkwy
Virginia Beach, VA 23454
Phone (757) 395-5300
Interoperability endpoints
- pobengokyere1357360@direct.bsmhealth.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
Multi-Specialty
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
-
- Ambulatory Surgical Clinic/Center
- Suffolk, VA
- NPI 1568466209
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
-
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1033504170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 KINGSBOROUGH SQ",
"address_2": "STE 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233205041",
"telephone_number": "413-652-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 LEITER RD",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "45342",
"telephone_number": "937-384-6800",
"fax_number": "937-384-6938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBENG-OKYERE",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-06",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0102207269",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34.013217",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0285134",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miamisburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.