Individual provider Active NPI

Fidelis Okechukwu Mkparu, MD

  • Cardiovascular Disease Physician
  • Alliance, OH
National Provider Identifier
1174522510
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35067680M Issued in OH
Practice address
2565 S Union Ave
Alliance, OH 44601-5058
Phone
(330) 823-0894
Fax
(330) 823-4871
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35067680M OH Primary

Addresses

Primary practice location

2565 S Union Ave
Alliance, OH 44601-5058

Mailing address

2565 S Union Ave
Alliance, OH 44601-5058
Phone (330) 823-0894

Other identifiers 1

IdentifierTypeStateIssuer
0186301MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060607000314 OH Practitioner - Cardiovascular Disease (Cardiology) 3577575695

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35067680MOHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Physical Medicine LLC CurrentSince Aug 19, 2014 Accepting new patients
Westbrook OB/GYN, Inc. Past Accepting new patients

Locations

2565 S Union Ave
Alliance, OH 44601
Phone (330) 821-4455

Interoperability endpoints

  • Direct secure messaging: mkparu_fidelis_md@f05e0785.micromddirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174522510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 S UNION AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015058",
            "telephone_number": "330-823-0894",
            "fax_number": "330-823-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 S UNION AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015058",
            "telephone_number": "330-823-0894",
            "fax_number": "330-823-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MKPARU",
        "first_name": "FIDELIS",
        "middle_name": "OKECHUKWU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35067680M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186301",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.