Individual provider Active NPI

Chukwuma M Okoroji, MD

  • Obstetrics & Gynecology Physician
  • Tallahassee, FL
National Provider Identifier
1356335178
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME103799 Issued in FL
Practice address
2473 Care Dr
Suite 102-103
Tallahassee, FL 32308-9814
Phone
(850) 302-6054
Fax
(850) 320-6961
NPI assigned
Sep 8, 2005
Last updated
Oct 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA0752600 NJ
Family Medicine Physician 207Q00000X 25MA0752600 NJ
Family Medicine Physician 207Q00000X ME 103799 FL
Obstetrics & Gynecology Physician 207V00000X 036106681 IL
Obstetrics & Gynecology Physician 207V00000X 2008016029 MO
Obstetrics & Gynecology Physician 207V00000X ME103799 FL Primary
General Practice Physician 208D00000X 25MA0752600 NJ
Family Medicine Physician 207Q00000X ME103799 FL

Addresses

Primary practice location

2473 Care Dr
Suite 102-103
Tallahassee, FL 32308-9814

Mailing address

2473 Care Dr
Suite 102-103
Tallahassee, FL 32308-9814
Phone (850) 302-6054

Other identifiers 4

IdentifierTypeStateIssuer
145LDOtherFLBCBS OF FLORIDA
0041742MedicaidNJ
001320500MedicaidFL
036106681MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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

Enrollment IDStateProvider typePAC IDDetails
I20090922000717 FL Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 1355309980 Reassigns benefits to 1 organization
I20260401003072 GA Practitioner - Obstetrics/Gynecology 1355309980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diana Health FL, PAGroup PAC ID 5092253245, 33 clinicians

Practice addresses (Care Compare)

2770 Capital Medical Blvd
Suite 220
Tallahassee, FL 32308-8417
Phone (850) 391-3880

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 103799FLMDFamily Medicine Physician
25MA0752600NJMDFamily Medicine Physician
2008016029MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Health FL P.a. Obstetrics & Gynecology CurrentSince Mar 17, 2025 Accepting new patients
Tift Regional Health System Inc Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Neighborhood Medical Center, Inc Past Accepting new patients
Internal Medicine and Pediatrics Associatesof Tallahassee Inc General Practice Past Accepting new patients
Absolute OBGYN LLC Obstetrics & Gynecology Past Accepting new patients

Locations

1046 Mar Walt Dr
Ste 200
Fort Walton Beach, FL 32547
Phone (850) 243-2229

2056 Centre Pointe Ln
Ste A
Tallahassee, FL 32308
Phone (850) 391-3880

2770 Capital Medical Blvd
Ste 220
Tallahassee, FL 32308
Phone (850) 391-3880

Interoperability endpoints

  • Direct secure messaging: chukwuma.okoroji.1@15524.direct.athenahealth.com
  • Direct secure messaging: chukwuma.okoroji.1@23211.direct.athenahealth.com
  • Direct secure messaging: cokoroji21489@tallahasseememorial.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIFGBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIFGBA/Endpoint/DIFGBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1356335178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2473 CARE DR",
            "address_2": "SUITE 102-103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323089814",
            "telephone_number": "850-302-6054",
            "fax_number": "850-320-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2473 CARE DR",
            "address_2": "SUITE 102-103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323089814",
            "telephone_number": "850-302-6054",
            "fax_number": "850-320-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOROJI",
        "first_name": "CHUKWUMA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA0752600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA0752600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 103799",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036106681",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2008016029",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME103799",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA0752600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME103799",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "145LD",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0041742",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001320500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106681",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.