Individual provider Active NPI

Emmanuel T Okeke, M.D.

  • Psychiatry Physician
  • Larned, KS
National Provider Identifier
1043335946
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0800316 Issued in KS
Practice address
1301 KS Hwy 264
Larned, KS 67550-5353
Phone
(620) 285-4507
Fax
(620) 285-4509
NPI assigned
Mar 20, 2007
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0800316 KS Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0800316KSMDPsychiatry Physician
P46503NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Methodist Western Kansas Mexican-American Ministries, Inc. CurrentSince Mar 25, 2018 Accepting new patients
State of Kansas CurrentSince Mar 22, 2010 Accepting new patients
State of Kansas-Accounting Services CurrentSince Mar 22, 2010 Accepting new patients
United Methodist Western Kansas Mexican-American Ministries, Inc. CurrentSince Mar 25, 2018 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://fhir-myrecord.cerner.com/r4/e13c1e21-bd04-471c-b46a-cb74f87dcaaa/
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDAHAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDAHAD/Endpoint/JDAHAD

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larned, KS

Sources for this page

Verify at the official NPI Registry.