Active NPI
Chukwuma M Okoroji, MD
- Obstetrics & Gynecology Physician
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME103799
- 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, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145LD | Other | FL | BCBS OF FLORIDA |
| 0041742 | Medicaid | NJ | |
| 001320500 | Medicaid | FL | |
| 036106681 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 103799 | FL | MD | Family Medicine Physician |
| 25MA0752600 | NJ | MD | Family Medicine Physician |
| 2008016029 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana Health FL P.a. | Obstetrics & Gynecology | Current | 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
- chukwuma.okoroji.1@15524.direct.athenahealth.com
- chukwuma.okoroji.1@23211.direct.athenahealth.com
- cokoroji21489@tallahasseememorial.direct-ci.com
- https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4
- https://fhir4.healow.com/fhir/r4/DIFGBA
- 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.
-
- Obstetrics & Gynecology Physician
- Fort Walton Beach, FL
- NPI 1194591966
-
dba Southwell Mobile Clinic
- Family Medicine Physician
- Tifton, GA
- NPI 1881203305
-
- Primary Care Clinic/Center
- Tallahassee, FL
- NPI 1942699509
-
- Obstetrics & Gynecology Physician
- Tallahassee, FL
- NPI 1205104478
-
- Obstetrics & Gynecology Physician
- Gulf Breeze, FL
- NPI 1801301122
-
- General Practice Physician
- Tallahassee, FL
- NPI 1629147228
-
- Federally Qualified Health Center (FQHC)
- Tallahassee, FL
- NPI 1487869467
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
dba WorkSmart Occupational Medicine
- Clinic/Center
- Tifton, GA
- NPI 1003980996
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Capital Hospital
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1790732303
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.