Ikechukwu Okorie, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19875 Issued in MS

Practice address

3700 Hardy St Ste 10
Hattiesburg, MS 39402-1614

Phone

(601) 544-7212

Fax

(601) 544-7013

NPI assigned

Jul 13, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in MS, TX2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFDADA/Endpoint/AFDADA
• Direct secure messaging: fmcoikech@yourcarecommunity.org

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.

• Inland Family Practice Center LLC

  • Family Medicine Physician
  • Hattiesburg, MS
  • NPI 1023276946
  Medicare reassignment Authorized official
• Keystone Medical Services of Ms, Inc

  • Emergency Medicine Physician
  • Hazlehurst, MS
  • NPI 1174691059
  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Ess of Fairfield LLC

  • Emergency Medicine Physician
  • Fairfield, TX
  • NPI 1588132856
  Medicare reassignment NPD
• South Central Physicians PLLC

  • Hospitalist Physician
  • Lubbock, TX
  • NPI 1427611854
  Medicare reassignment NPD
• Adeline After-Hour Care, LLC

  • Family Medicine Physician
  • Hattiesburg, MS
  • NPI 1871829929
  NPD (past) Authorized official

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1265631907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 HARDY ST STE 10",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021614",
            "telephone_number": "601-544-7212",
            "fax_number": "601-544-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 HARDY ST STE 10",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021614",
            "telephone_number": "601-544-7212",
            "fax_number": "601-544-7013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Hillcrest Rd Ste 185",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750355401",
            "country_code": "US",
            "telephone_number": "305-479-7945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKORIE",
        "first_name": "IKECHUKWU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "19875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0358841",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Odyssey Healthcare Operating B, LP
• Maureen Offiah, M.D.
• Susan R Oglesbee, FNP
• Anna Kathleen Oglesby, LPC
• Leslie Oglesby, PHD, LAT, ATC
• Cassidy Erin Olinde
• Olive Branch Counseling Services LLC
• Blake Olmsted, M.D.
• One Community Development Center
• One Stop Healthcare Management LLC

• Family Medicine Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.