Individual provider Active NPI

Chimezie C Okolocha, DO

  • Psychiatry Physician
  • Munster, IN
National Provider Identifier
1205575818
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
02009143A Issued in IN
Practice address
1314 Fitzgerald Dr
Munster, IN 46321-4204
Phone
(219) 789-6522
NPI assigned
Jun 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 02009143A IN Primary

Addresses

Primary practice location

1314 Fitzgerald Dr
Munster, IN 46321-4204

Mailing address

1314 Fitzgerald Dr
Munster, IN 46321-4204
Phone (219) 789-6522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240608000164 OK Practitioner - Psychiatry 3971949090 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8076OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma CurrentSince May 30, 2024 Accepting new patients
State of Oklahoma CurrentSince May 30, 2024 Accepting new patients
State of Oklahoma Current Accepting new patients

Locations

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

Organizations & group practices 3

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1205575818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 FITZGERALD DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214204",
            "telephone_number": "219-789-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 FITZGERALD DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214204",
            "telephone_number": "219-789-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOLOCHA",
        "first_name": "CHIMEZIE",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "02009143A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.