Organization Active NPI

Izuchukwu Okpara MD Ma, PLLC

Doing business as Omni Wound Physicians Massachusetts

  • Surgery Physician
  • Worcester, MA
National Provider Identifier
1407641624
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
IZUCHUKWU OKPARA MD MA, PLLC
Doing business as
Omni Wound Physicians Massachusetts
Practice address
370 Main St FL 11
Worcester, MA 01608-1723
Phone
(213) 228-3538
NPI assigned
Apr 9, 2025
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Izuchukwu Okpara, MDNPI 1184992851
Title
Ceo
Phone
(661) 649-4713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

370 Main St FL 11
Worcester, MA 01608-1723

Mailing address

25044 Peachland Ave Ste 110
Newhall, CA 91321-5730

Other names 1

  • Omni Wound Physicians Massachusetts Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250528001639 MA Part B Supplier - Clinic/Group Practice 3870012339 Receives reassigned benefits from 7 practitioners
Practice locations: Worcester, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1407641624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25044 PEACHLAND AVE STE 110",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MAIN ST FL 11",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081723",
            "telephone_number": "213-228-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IZUCHUKWU OKPARA MD MA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "OKPARA",
        "authorized_official_first_name": "IZUCHUKWU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-649-4713",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Wound Physicians Massachusetts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.