Individual provider Active NPI

Chika Nkiru Odili

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1104265859
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341193 Issued in NY
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

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130816000166 TX Practitioner - Nurse Practitioner 0840432142 Practice locations: Houston, TX
I20161202001372 NY Practitioner - Nurse Practitioner 0840432142 Reassigns benefits to 6 organizations
Practice locations: New York, NY
I20251003004094 NJ Practitioner - Nurse Practitioner 0840432142 Practice locations: Elizabeth, NJ

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

LicenseStateTypeSpecialty
341193NYMDFamily Nurse Practitioner
AP123296TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual Allied Remote Diagnostic & Clinical Services PLLC CurrentSince Dec 1, 2022 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Sep 3, 2018 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Premier Healthcare, Inc. CurrentSince Nov 1, 2016 Accepting new patients
Premier Healthcare, Inc. CurrentSince Nov 1, 2016 Accepting new patients
Essen Medical Associates, PC CurrentSince Jul 1, 2018 Accepting new patients
Advantagecare Physicians PC CurrentSince Apr 1, 2019 Accepting new patients
Essen Medical Associates,PC CurrentSince Jul 1, 2018 Accepting new patients
Advantagecare Physicians PC CurrentSince Apr 1, 2019 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jul 1, 2018 Accepting new patients
Clinica Management Group Inc PastSince Sep 16, 2015 Accepting new patients
Clinica Universo Latino 1 LLC PastSince Sep 28, 2015 Accepting new patients
Clinica Universo Latino 2 LLC PastSince Oct 24, 2015 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

  • Direct secure messaging: chika.odili.1@24989.direct.athenahealth.com
  • FHIR API: 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.

View all 13

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

Verify at the official NPI Registry.