Organization Active NPI

Medicine and Nephrology Clinic of New Orleans LLC

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1366714669
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LA09878R Issued in LA
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

Updated by the provider on Feb 1, 2012

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X LA09878R LA Primary
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1972118MedicaidLA

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.

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

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.

Verify at the official NPI Registry.