Individual provider Active NPI

Chinedu Philip Onochie

  • Licensed Practical Nurse
  • Indianapolis, IN
National Provider Identifier
1376222042
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
27080098A Issued in IN
Practice address
120 E Market St Ste 500
Indianapolis, IN 46204-3261
Phone
(317) 614-7708
NPI assigned
Jul 11, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 27080098A IN Primary

Addresses

Primary practice location

120 E Market St Ste 500
Indianapolis, IN 46204-3261

Mailing address

4402 Fullwood CT
Indianapolis, IN 46254-2070
Phone (317) 614-7708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27080098AINMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cpo Home Care LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

120 E Market St
Ste 500
Indianapolis, IN 46204
Phone (317) 614-7708

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1376222042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 FULLWOOD CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462542070",
            "telephone_number": "317-614-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E MARKET ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043261",
            "telephone_number": "317-614-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONOCHIE",
        "first_name": "CHINEDU",
        "middle_name": "PHILIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27080098A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.