Organization Active NPI

Okee Ekenna, Inc

  • Infectious Disease Physician
  • Pascagoula, MS
National Provider Identifier
1306985395
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
13816 Issued in MS
Legal business name
OKEE EKENNA, INC
Practice address
3702 Jefferson Ave
Pascagoula, MS 39563-6218
Phone
(228) 769-2588
Fax
(228) 769-2589
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Dr. Okechukwu Ekenna, MDNPI 1578678868
Title
Owner
Phone
(228) 769-2588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 13816 MS Primary

Addresses

Primary practice location

3702 Jefferson Ave
Pascagoula, MS 39563-6218

Mailing address

3702 Jefferson Ave
Pascagoula, MS 39563-6218
Phone (228) 769-2588

Other identifiers 6

IdentifierTypeStateIssuer
009505210OtherMSALACAID
414338860BOtherMSAHS STATE
414338860BOtherMSBLUE CROSS
04178015MedicaidMS
110101525OtherMSMEDICARE RAILROAD
106036700OtherMSUSDOL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070306000656 MS Part B Supplier - Clinic/Group Practice 0941303234 Receives reassigned benefits from 1 practitioner
Practice locations: Pascagoula, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1306985395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 JEFFERSON AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395636218",
            "telephone_number": "228-769-2588",
            "fax_number": "228-769-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 JEFFERSON AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395636218",
            "telephone_number": "228-769-2588",
            "fax_number": "228-769-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEE EKENNA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "EKENNA",
        "authorized_official_first_name": "OKECHUKWU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-769-2588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MS",
            "license": "13816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALACAID",
            "identifier": "009505210",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHS STATE",
            "identifier": "414338860B",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "414338860B",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04178015",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110101525",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDOL",
            "identifier": "106036700",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.