NPIMap

Emmanuel T Okeke, M.D.

Individual provider Active NPI Psychiatry Physician · Larned, KS

NPI 1043335946 · NPPES record last updated Apr 2, 2024

Key facts

NPI
1043335946
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
0800316 (KS)
Practice address
1301 KS Hwy 264
Larned, KS 67550-5353
Phone
(620) 285-4507
Fax
(620) 285-4509
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 13

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Kansas-Accounting Services (12 clinicians)
United Methodist Western Kansas Mexican-American Ministries, Inc. (18 clinicians)

Practice addresses (Care Compare)

1301 K264 Hwy
Larned, KS 67550-5353

1301 KS Hwy 264
Larned, KS 67550-5353
Phone (620) 285-2131

712 A Saint John St
Garden City, KS 67846-5128
Phone (620) 275-1766

Hospital & facility affiliations

  • Pawnee Valley Community Hospital Hospital · Larned, KS · CCN 171345

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100513000726 KS Practitioner - Psychiatry 4688702558 Reassigns benefits to 2 organizations
Practice locations: Larned, KS

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0800316KSMDPsychiatry Physician
P46503NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Methodist Western Kansas Mexican-American Ministries, Inc. Current
since Mar 25, 2018		 Accepting new patients
United Methodist Western Kansas Mexican-American Ministries, Inc. Current
since Mar 25, 2018		 Accepting new patients
State of Kansas-Accounting Services Current
since Mar 22, 2010		 Accepting new patients
State of Kansas Current
since Mar 22, 2010		 Accepting new patients
KVC Hospitals Inc Past Accepting new patients

Locations

1700 Avenue F
Dodge City, KS 67801
Phone (620) 225-6821

2020 Central Ave
Dodge City, KS 67801
Phone (620) 227-1371

712 Saint John St
Garden City, KS 67846
Phone (620) 271-7400

712A Saint John St
Garden City, KS 67846
Phone (620) 275-1766

1301 KS Highway 264
Larned, KS 67550
Phone (620) 285-2131

2330 N Kansas Ave
Liberal, KS 67901
Phone (620) 624-0463

113 S Main St
Ste E
Ulysses, KS 67880
Phone (620) 356-2432

Interoperability endpoints

  • Direct secure messaging: emmanuel.okeke@khindirect.org
  • FHIR API: https://api.platform.athenahealth.com/8094/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDAHAD/Endpoint/JDAHAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDAHAD
  • FHIR API: https://fhir-myrecord.cerner.com/r4/e13c1e21-bd04-471c-b46a-cb74f87dcaaa/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0800316 KS Yes
Psychiatry Physician 2084P0800X P46503 NY

Addresses

Primary practice location

1301 KS Hwy 264
Larned, KS 67550-5353

Mailing address

1301 KS Hwy 264
Larned, KS 67550-5353
Phone (620) 285-4507

Other practice location 1

712A Saint John St
Garden City, KS 67846-5128
Phone (620) 275-1766

Other identifiers

IdentifierTypeStateIssuer
P46503MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 2, 2024.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1043335946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 KS HWY 264",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675505353",
            "telephone_number": "620-285-4507",
            "fax_number": "620-285-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 KS HWY 264",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675505353",
            "telephone_number": "620-285-4507",
            "fax_number": "620-285-4509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712A Saint John St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465128",
            "country_code": "US",
            "telephone_number": "620-275-1766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "EMMANUEL",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "0800316",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "P46503",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P46503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Larned, KS

All providers in Larned, KS · Psychiatry Physician in Kansas

Sources for this page

Verify at the official NPI Registry.