Individual provider Active NPI

Geoffrey Okechukwu Onyeukwu, MD

  • Family Medicine Physician
  • Gary, IN
National Provider Identifier
1093724007
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01043017A Issued in IN
Practice address
3814 Grant Street
Gary, IN 46408
Phone
(219) 884-3447
Fax
(219) 884-3512
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01043017A IN Primary

Addresses

Primary practice location

3814 Grant Street
Gary, IN 46408

Mailing address

3814 Grant Street
Gary, IN 46408
Phone (219) 884-3447

Other identifiers 1

IdentifierTypeStateIssuer
200027940BMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080922000329 IN Practitioner - Internal MedicinePractitioner - Family Practice 3375610025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2010 E Columbus Dr
East Chicago, IN 46312-2830

3814 Richard Gordon Hatcher Blvd
Gary, IN 46408-2150
Phone (219) 884-3447

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aims, LLC CurrentSince Sep 4, 2018 Accepting new patients
Northwest Procedures & Medical Center PC Family Medicine CurrentSince Oct 1, 1996 Accepting new patients

Locations

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

9330 Broadway
Crown Point, IN 46307
Phone (219) 648-2400

2010 E Columbus Dr
East Chicago, IN 46312
Phone (219) 397-1951

2158 45th St
Highland, IN 46322
Phone (219) 554-0500

Organizations & group practices 2

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 3

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1093724007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 GRANT STREET",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46408",
            "telephone_number": "219-884-3447",
            "fax_number": "219-884-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 GRANT STREET",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46408",
            "telephone_number": "219-884-3447",
            "fax_number": "219-884-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEUKWU",
        "first_name": "GEOFFREY",
        "middle_name": "OKECHUKWU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01043017A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200027940B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.