Active NPI
Chika Nkiru Odili
- Family Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 341193
- Practice address
- 3245 Nostrand Ave
Brooklyn, NY 11229 - Phone
- (718) 615-3777
- Fax
- (718) 615-3717
- NPI assigned
- Jun 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP123296 | TX | |
| Family Nurse Practitioner | 363LF0000X | 341193 | NY | Primary |
Addresses
Primary practice location
3245 Nostrand Ave
Brooklyn, NY 11229
Mailing address
55 Water Street
2ND Floor Cred Dept
New York, NY 10041-4303
Phone (646) 680-2888
Other practice location 1
460 West 34th Street
11th Floor
New York, NY 10001-3662
Phone (212) 273-6100
Other practice location 2
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 299-7295
Other practice location 3
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 299-7295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Elizabeth, NJ 07208
Phone (877) 258-6331
137 Route 303
Unit 513
Valley Cottage, NY 10989
650 -652 Newark Ave
1St Floor
Elizabeth, NJ 07208-3589
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 341193 | NY | MD | Family Nurse Practitioner |
| AP123296 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtual Allied Remote Diagnostic & Clinical Services PLLC | Current | Accepting new patients | |
| Essen Medical Urgicare, PLLC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Essen Medical Associates,PC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current | Accepting new patients | |
| Clinica Management Group Inc | Past | Accepting new patients | |
| Clinica Universo Latino 1 LLC | Past | Accepting new patients | |
| Clinica Universo Latino 2 LLC | Past | Accepting new patients |
Locations
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
3245 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 615-3777
8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
460 W 34th St
Fl 11
New York, NY 10001
Phone (212) 273-6515
55 Water St
Fl 2
New York, NY 10041
460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515
300 Lenora St
Seattle, WA 98121
Phone (206) 623-7671
Interoperability endpoints
- chika.odili.1@24989.direct.athenahealth.com
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
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.
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Urgent Care Clinic/Center
- Bronx, NY
- NPI 1841607298
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1760436190
-
- Psychiatric/Mental Health Nurse Practitioner
- Seattle, WA
- NPI 1356907885
NY
-
- Clinic/Center
- Houston, TX
- NPI 1639548977
-
- Clinic/Center
- Katy, TX
- NPI 1750751160
-
- Clinic/Center
- Stafford, TX
- NPI 1922478775
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Legal Medicine (M.D./D.O.) Physician
- Jamaica, NY
- NPI 1700023926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1104265859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER STREET",
"address_2": "2ND FLOOR CRED DEPT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100414303",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3245 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11229",
"telephone_number": "718-615-3777",
"fax_number": "718-615-3717"
}
],
"practiceLocations": [
{
"address_1": "460 West 34th Street",
"address_2": "11th Floor",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100013662",
"country_code": "US",
"telephone_number": "212-273-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2015 Grand Concourse",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "10453",
"country_code": "US",
"telephone_number": "718-299-7295",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2015 Grand Concourse",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "10453",
"country_code": "US",
"telephone_number": "718-299-7295",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODILI",
"first_name": "CHIKA",
"middle_name": "NKIRU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-17",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP123296",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "341193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.