Individual provider Active NPI

Fidelis Ajobome Okotie, MD

  • Internal Medicine Physician
  • Port Arthur, TX
National Provider Identifier
1376856039
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N8962 Issued in TX
Practice address
2555 Jimmy Johnson Boulevard
Port Arthur, TX 77640-2007
Phone
(409) 853-5086
Fax
(409) 853-5084
NPI assigned
Jul 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38814 SC
Hospitalist Physician 208M00000X 2015-00495 NC
Internal Medicine Physician 207R00000X 2015-00495 NC
Hospitalist Physician 208M00000X N8962 TX
Internal Medicine Physician 207R00000X N8962 TX Primary
Internal Medicine Physician 207R00000X MD.207776 LA
Hospitalist Physician 208M00000X 0434428 KS
Hospitalist Physician 208M00000X MD.207776 LA
Internal Medicine Physician 207R00000X 70415 WI

Addresses

Primary practice location

2555 Jimmy Johnson Boulevard
Port Arthur, TX 77640-2007

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Other practice location 1

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-5864

Other practice location 2

4070 Highway 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

Other practice location 3

101 E Wood St Ste 401
Spartanburg, SC 29303-3040
Phone (864) 560-6654

Other practice location 4

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000

Other practice location 5

7777 Hennessy Blvd Ste 701
Baton Rouge, LA 70808-4370
Phone (225) 765-5864

Other identifiers 1

IdentifierTypeStateIssuer
100136014MedicaidWI

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address fokotie447803@direct.musc.edu Waccamaw Community Hospital
Direct Messaging Address fokotie447803@direct.musc.edu Georgetown Memorial Hospital
Direct Messaging Address vhall9354@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, LA, NC, SC, WI, IN, TN, KY, IA10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20121011000852 TX Practitioner - Internal Medicine 0547384794 Reassigns benefits to 8 organizations
I20150413001070 OK Practitioner - Internal Medicine 0547384794 Reassigns benefits to 3 organizations
I20150714001245 LA Practitioner - Internal Medicine 0547384794 Reassigns benefits to 7 organizations
I20151028000496 NC Practitioner - Internal Medicine 0547384794 Reassigns benefits to 2 organizations
I20160428001402 SC Practitioner - Internal Medicine 0547384794 Reassigns benefits to 5 organizations
I20201203002469 WI Practitioner - Internal MedicinePractitioner - Hospitalist 0547384794 Reassigns benefits to 12 organizations
I20240513002141 IN Practitioner - Hospitalist 0547384794 Reassigns benefits to 1 organization
I20240520001685 TN Practitioner - Hospitalist 0547384794 Reassigns benefits to 1 organization
I20250206000563 KY Practitioner - Internal Medicine 0547384794 Reassigns benefits to 1 organization
I20260211001442 IA Practitioner - Internal Medicine 0547384794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cookeville Hospitalist Group PLLCGroup PAC ID 1254794282, 56 clinicians
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians
Green Valley Hospital Medicine Physicians LLCGroup PAC ID 3779973839, 27 clinicians
Grinnell Regional Medical CenterGroup PAC ID 0446153662, 98 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Aspirus Wausau Hospital IncGroup PAC ID 6406757442, 242 clinicians
Georgetown Memorial HospitalGroup PAC ID 8224942123, 90 clinicians
Aspirus Stevens Point Hospital and Clinics, Inc.Group PAC ID 1850358938, 136 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 528-2541

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6654

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (270) 444-2444

1727 Shawano Ave
Green Bay, WI 54303-3268
Phone (920) 496-4700

210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-7511

3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (920) 459-8300

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 847-2866

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000

6300 Main St
Zachary, LA 70791-4037
Phone (225) 658-4000

900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000

Hospital & facility affiliations

  • Grinnell Regional Medical Center Hospital, Grinnell, IA, CCN 160147
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • Aspirus Stevens Point Hospital & Clinics, Inc. Hospital, Stevens Point, WI, CCN 520002
  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207776LAMDInternal Medicine Physician
38814SCMDInternal Medicine Physician
2015-00495NCMDHospitalist Physician
N8962TXMDHospitalist Physician

Practice roles (60 of 65)

OrganizationSpecialtyStatusNew patients
Pelham Medical Center Current Accepting new patients
Spartanburg Medical Center Current Accepting new patients
St Clare Memorial Hospital, Inc CurrentSince Nov 1, 2020 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Waccamaw Community Hospital CurrentSince May 1, 2017 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of North Carolina PLLC Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
St Martin Physician Services LLC Hospitalist CurrentSince Nov 14, 2020 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Hub City Physician Group, LLC Hospitalist CurrentSince May 17, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 1, 2013 Accepting new patients
Georgetown Memorial Hospital CurrentSince May 1, 2017 Accepting new patients
Cookeville Hospitalist Group, PLLC Hospitalist CurrentSince May 1, 2024 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Nov 1, 2013 Accepting new patients
Tulsa Hospital Medicine Physicians Group, LLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Apr 8, 2018 Accepting new patients
Aurora Medical Group, Inc. CurrentSince May 15, 2022 Accepting new patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Dec 15, 2024 Accepting new patients
Pelham Medical Center CurrentSince Aug 1, 2025 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Apr 8, 2018 Accepting new patients
Prevea Clinic, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Aurora Medical Group, Inc. CurrentSince May 15, 2022 Accepting new patients
Baycare Aurora, LLC Hospitalist CurrentSince May 15, 2022 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Nov 1, 2022 Accepting new patients
The Howard Young Medical Center, Inc. Hospitalist CurrentSince Nov 1, 2022 Accepting new patients
New Albany Hospitalist Group, LLC Hospitalist CurrentSince May 1, 2024 Accepting new patients
Hni Medical Services Internal Medicine CurrentSince Mar 16, 2014 Accepting new patients
Midwest Hospital Medicine Associates PC Hospitalist CurrentSince Sep 14, 2019 Accepting new patients
Green Valley Hospital Medicine Physicians, LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 1, 2022 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Nov 1, 2020 Accepting new patients
Aspirus Wausau Hospital Inc CurrentSince Nov 1, 2022 Accepting new patients
Spartanburg Medical Center Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Prevea Clinic, Inc. Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Velasco Inpatient Services PLLC Hospitalist CurrentSince Oct 1, 2025 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Pelham Medical Center Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Grinnell Regional Medical Center Internal Medicine CurrentSince Mar 18, 2026 Accepting new patients
Apogee Medical Group Waukesha, SC Hospitalist CurrentSince Mar 1, 2022 Accepting new patients
Georgetown Memorial Hospital CurrentSince May 1, 2017 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Integris Ambulatory Care Corporation Internal Medicine CurrentSince Jan 18, 2025 Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Mar 1, 2013 Accepting new patients
Main Street Physician Services LLC Hospitalist CurrentSince Aug 22, 2020 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
St. Clare Memorial Hospital, Inc CurrentSince Nov 1, 2020 Accepting new patients
Opelousas Physician Services LLC Hospitalist CurrentSince Dec 18, 2020 Accepting new patients
LC Hospital Medicine Physicians, LLC Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Aspirus Wausau Hospital, Inc. Internal Medicine Current Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Jun 30, 2025 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Spartanburg Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Feb 1, 2015 Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Jun 5, 2017 Accepting new patients

Locations (25 of 80)

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

29980 Network Pl
Chicago, IL 60673

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1310 W 7th St
Kaplan, LA 70548
Phone (318) 643-8300

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

2315 E Main St
Fl 3
New Iberia, LA 70560
Phone (337) 369-1100

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

Interoperability endpoints

  • Direct secure messaging: fokotie5285331@direct.casso.us.com
  • Direct secure messaging: vhall9354@direct-srhs.et0939.epichosted.com
  • Direct secure messaging: fokotie913645@ahs.direct-ci.com
  • Direct secure messaging: fokotie477942@direct.ochsner.org

Organizations & group practices 65

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 65

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1376856039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BOULEVARD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-853-5086",
            "fax_number": "409-853-5084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Hennessy Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084375",
            "country_code": "US",
            "telephone_number": "225-765-5864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4070 Highway 17",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765033",
            "country_code": "US",
            "telephone_number": "843-652-1000",
            "fax_number": "843-520-8403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Wood St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033040",
            "country_code": "US",
            "telephone_number": "864-560-6654",
            "fax_number": "864-560-7353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 Black River Rd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294403304",
            "country_code": "US",
            "telephone_number": "843-527-7000",
            "fax_number": "843-520-8403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 Hennessy Blvd Ste 701",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084370",
            "country_code": "US",
            "telephone_number": "225-765-5864",
            "fax_number": "225-765-2013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOTIE",
        "first_name": "FIDELIS",
        "middle_name": "AJOBOME",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "38814",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2015-00495",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2015-00495",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N8962",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N8962",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.207776",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "0434428",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "MD.207776",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "70415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100136014",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fokotie447803@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Waccamaw Community Hospital",
            "address_1": "4070 Highway 17 Bypass",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fokotie447803@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Memorial Hospital",
            "address_1": "606 Black River Rd",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vhall9354@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "vhall9354@direct-srhs.et0939.epichosted.com",
            "address_1": "101 E Wood St Ste 401",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.