Kanayo Radcliff Okeke-Eweni, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

BP10090041 Issued in TX

Practice address

3417 U of a Way, Family Medical Center
Texarkana, AR 71854

Phone

(870) 779-6000

NPI assigned

Jul 12, 2023

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Merit-based Incentive Payment System (MIPS)

Final score

95.25 of 100Reported as group

Quality

85.66

Promoting interoperability

100

Improvement activities

40

Cost

65.17

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1144909748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 LAKE ARROWHEAD DR",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700585147",
            "telephone_number": "504-289-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 U OF A WAY, FAMILY MEDICAL CENTER",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "71854",
            "telephone_number": "870-779-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6970 Grand Central Pkwy",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113753949",
            "country_code": "US",
            "telephone_number": "504-289-6675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKEKE-EWENI",
        "first_name": "KANAYO",
        "middle_name": "RADCLIFF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60-P122921-01",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10090041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James O'Neal
• Kevin Henderson O'Sullivan, M.D.
• Lakin Oats
• Obiageri Nnena Obioha, PLMSW
• Odyssey Healthcare Operating a, LP (Gentiva)
• Sifau Yetunde Oladipo, M.D.
• Olive Tree Counseling LLP
• Josiah Okechukwu Onyenekwe III, M.D
• Chigozie Doris Opara, MD
• Open Hearts Home Health

• Family Medicine Physician in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.

Verify at the official NPI Registry.