Individual provider Active NPI

Okwuchukwu Okoli, MD

  • Internal Medicine Physician
  • Longview, TX
National Provider Identifier
1265844401
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10050125 Issued in TX
Practice address
700 E Marshall Ave
Longview, TX 75601-5580
Phone
(903) 315-2000
NPI assigned
May 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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 BP10050125 TX Primary

Addresses

Primary practice location

700 E Marshall Ave
Longview, TX 75601-5580

Mailing address

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180117000317 TX Practitioner - Internal Medicine 5597063768 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laredo Emergency Medicine Associates PAGroup PAC ID 5395741896, 45 clinicians

Practice addresses (Care Compare)

1700 E Saunders St
Laredo, TX 78041-5401
Phone (956) 796-5000

Hospital & facility affiliations

  • Laredo Medical Center Hospital, Laredo, TX, CCN 450029

Merit-based Incentive Payment System (MIPS)

Final score
87.42 of 100Reported as group
Quality
73.44
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laredo Emergency Medicine Associates PA CurrentSince Oct 28, 2022 Accepting new patients
Hospital Care Consultants, Inc CurrentSince Jun 11, 2019 Accepting new patients
Procenture Medical Services LLC CurrentSince Dec 28, 2018 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Dec 7, 2017 Accepting new patients
Seminole Hospital District of Gaines County Texas Current Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
Concord Medical Group PLLC CurrentSince Feb 1, 2019 Accepting new patients
Hospital Care Consultants of Corpus Christi CurrentSince Jun 11, 2019 Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

9811 McPherson Rd
Laredo, TX 78045
Phone (956) 796-3900

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

18600 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 404-0800

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

Interoperability endpoints

  • Direct secure messaging: ookoli14409@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 9

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 1

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": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1265844401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015580",
            "telephone_number": "903-315-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015580",
            "telephone_number": "903-315-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOLI",
        "first_name": "OKWUCHUKWU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10050125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.