Chukwujekwu Okpalaji, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

Q2172 Issued in TX

Practice address

100 San Elizario Rd Ste H
Clint, TX 79836-6739

Phone

(915) 209-3722

Fax

(915) 703-2208

NPI assigned

Mar 30, 2012

Last updated

Sep 23, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: chukwujekwu.okpalaji@direct.myhealthep.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clint Pediatric Night Clinic

  • Pediatrics Physician
  • Clint, TX
  • NPI 1033564232
  NPD (past) Authorized official
• Goccix, PLLC

  dba Clint Pediatrics

  • Pediatrics Physician
  • Clint, TX
  • NPI 1548625890
  NPD (past) Authorized official
• Tenet Hospitals Limited

  dba The Hospitals of Providence Memorial Campus

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1700801909
  NPD (past)
• Tenet Hospitals Limited

  dba The Hospitals of Providence East Campus

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1972709970
  NPD (past)

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695427200000",
    "number": "1265708580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 657",
            "city": "CLINT",
            "state": "TX",
            "postal_code": "798360657",
            "telephone_number": "915-209-3722",
            "fax_number": "915-703-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAN ELIZARIO RD STE H",
            "city": "CLINT",
            "state": "TX",
            "postal_code": "798366739",
            "telephone_number": "915-209-3722",
            "fax_number": "915-703-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPALAJI",
        "first_name": "CHUKWUJEKWU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2023-09-23",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q2172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345029806",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jy Enterprises, Inc. (Three Missions Health Services at Home)
• Lone Star Family Health Care PLLC
• Lone Star Home Health Care Inc.
• Lorenzo Humberto Marmolejo, LCSW
• New Mission Home Care LLC
• Project Vida Health Center (W.D. Surratt Elementary)
• Project Vida Health Center (Clint Junior High School)
• R.J. Owen. PLLC
• Loretta Rivera, RN
• Juan Trejo

• Pediatrics Physician in Clint, TX
• Providers in Clint, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.