Reginald Nnamdi Okagbue, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036095405 Issued in IL

Practice address

5736 W North Ave
Chicago, IL 60639-4152

Phone

(773) 385-9850

Fax

(773) 385-9850

NPI assigned

Mar 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1235309352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606394152",
            "telephone_number": "773-385-9850",
            "fax_number": "773-385-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606394152",
            "telephone_number": "773-385-9850",
            "fax_number": "773-385-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAGBUE",
        "first_name": "REGINALD",
        "middle_name": "NNAMDI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095405",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ikechukwu Ifeanyi Okafo, MD
• Chinelo Okafor, M.D.
• Chinwuba Okafor, REGISTERED PHAMACIST
• Jude-Patrick Nnamdi Okafor, MD
• Nneka Ifeoma Okagbue, APRN
• Daniel Allen Okamoto, M.D.
• Koh Okamoto, M.D.
• Nathan Michael Okano
• Ndidi Okanu, NP-C
• Mahmoud Mohmmed Okash Sr., MD

• All providers in Chicago, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.