Active NPI
Geoffrey Okechukwu Onyeukwu, MD
- Family Medicine Physician
- Gary, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01043017A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200027940B | Medicaid | IN |
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
Enrollment records 1
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
- St Mary Medical Center Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aims, LLC | Current | Accepting new patients | |
| Northwest Procedures & Medical Center PC | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Gary, IN
- NPI 1316082266
-
- Psychiatry Physician
- Bremen, IN
- NPI 1376072785
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.