Individual provider Active NPI

Collins Okolie, M.D.

  • Internal Medicine Physician
  • Chillicothe, OH
National Provider Identifier
1235331224
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35094366 Issued in OH
Practice address
4439 State Route 159 Ste 150
Chillicothe, OH 45601-7833
Phone
(740) 779-4700
Fax
(740) 779-4798
NPI assigned
Jun 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35094366 OH Primary

Addresses

Primary practice location

4439 State Route 159 Ste 150
Chillicothe, OH 45601-7833

Mailing address

8 N Shore Dr
Chillicothe, OH 45601-2055
Phone (740) 775-8045

Other identifiers 1

IdentifierTypeStateIssuer
2996478MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adenainternalmedicine@adena.medicity.net

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
I20091119000389 OH Practitioner - Internal Medicine 8628116209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

100 Dawn LN
Waverly, OH 45690-9138
Phone (740) 947-6460

100 N Walnut St
Chillicothe, OH 45601-9031
Phone (740) 779-4500

1000 Veterans Dr
Jackson, OH 45640-9586
Phone (740) 395-8090

110 Vaugh Lane
Suite 20
Chillicothe, OH 45601
Phone (740) 779-7201

118 S New York Ave
Suite a
Wellston, OH 45692-1540
Phone (740) 384-7300

12340 State Route 104
Waverly, OH 45690-8968
Phone (740) 941-5180

272 Hospital Rd
Chillicothe, OH 45601-9031

455 N Shawnee Lane
Chillicothe, OH 45601-9031
Phone (740) 779-4888

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Internal Medicine CurrentSince Feb 18, 2010 Accepting new patients
Ross Emergency Group PC, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

272 Hospital Rd
Ste 150
Chillicothe, OH 45601
Phone (740) 779-7070

4439 State Route 159
Ste 130
Chillicothe, OH 45601
Phone (740) 779-4360

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

4439 State Route 159
Ste 150
Chillicothe, OH 45601
Phone (740) 779-4700

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: cokolie1060715@direct.osumc.edu

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1235331224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N SHORE DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012055",
            "telephone_number": "740-775-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159 STE 150",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017833",
            "telephone_number": "740-779-4700",
            "fax_number": "740-779-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOLIE",
        "first_name": "COLLINS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-03",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35094366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2996478",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adenainternalmedicine@adena.medicity.net",
            "affiliation": "N",
            "address_1": "4439 State Route 159 Ste 150",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456017833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.