Active NPI
Medicine and Nephrology Clinic of New Orleans LLC
- Internal Medicine Physician
- New Orleans, LA
National Provider Identifier
1366714669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- LA09878R
- Legal business name
- MEDICINE AND NEPHROLOGY CLINIC OF NEW ORLEANS LLC
- Practice address
- 5571 Read Blvd
New Orleans, LA 70127-3103 - Phone
- (504) 241-6660
- Fax
- (504) 362-9049
- NPI assigned
- Feb 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ndubueze Fidelis Okonkwo, M.D.
- Title
- Owner
- Phone
- (504) 241-6660
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LA09878R | LA | Primary |
| Nephrology Physician | 207RN0300X | LA09878R | LA |
Addresses
Primary practice location
5571 Read Blvd
New Orleans, LA 70127-3103
Mailing address
5571 Read Blvd
New Orleans, LA 70127-3103
Phone (504) 241-6660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972118 | Medicaid | LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328054400000",
"number": "1366714669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5571 READ BLVD",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701273103",
"telephone_number": "504-241-6660",
"fax_number": "504-362-9049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5571 READ BLVD",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701273103",
"telephone_number": "504-241-6660",
"fax_number": "504-362-9049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICINE AND NEPHROLOGY CLINIC OF NEW ORLEANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-01",
"last_updated": "2012-02-01",
"status": "A",
"authorized_official_last_name": "OKONKWO",
"authorized_official_first_name": "NDUBUEZE",
"authorized_official_middle_name": "FIDELIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "504-241-6660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "LA",
"license": "LA09878R",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "LA",
"license": "LA09878R",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972118",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
- Medical Center of Louisiana at New Orleans
- Medical Center of Louisiana at New Orleans
- Medical Health Services Inc
- Medical Rehab Accident Injury Center of Gentilly,LLC
- Medical Specialists of New Orleans
- Medicine Pro LLC
- Medicor Healthcare, Inc.
- Melissa Medina, MD, MPH, MS
- Michael Medina
- Michelle Tatiana Medina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.