NPIMap

Individual provider Active NPI

Kenechukwu Obinna Obiokoye, MD

  • Infectious Disease Physician
  • Louisville, KY
National Provider Identifier
1417204546
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
56843 Issued in KY
Practice address
234 E Gray St Ste 768
Louisville, KY 40202-1901
Phone
(502) 446-6434
Fax
(502) 394-3610
NPI assigned
Aug 8, 2012
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X 56843 KY Primary
Hospitalist Physician 208M00000X MD457850 PA

Addresses

Primary practice location

234 E Gray St Ste 768
Louisville, KY 40202-1901

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-5473

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kobiokoye280482@direct.vidanthealth.com Health Information Exchange (HIE)
Direct Messaging Address kobiokoye241962@direct.nortonhealthcare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180827002275 NC Practitioner - Internal Medicine 3678792975 Reassigns benefits to 3 organizations
I20220916000941 KY Practitioner - Infectious Disease 3678792975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

234 E Gray St
Suite 768
Louisville, KY 40202-1901
Phone (502) 394-6470

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56843KYMDInfectious Disease Physician
260879MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of North Carolina PLLC CurrentSince Sep 3, 2018 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Vidant Medical Group LLC CurrentSince Jul 10, 2018 Accepting new patients
Vidant Medical Group LLC CurrentSince Jul 10, 2018 Accepting new patients
Cogent Healthcare of North Carolina, PC Hospitalist CurrentSince Sep 3, 2018 Accepting new patients
Hospitalist Medicine Physicians of North Carolina - Rocky Mount CurrentSince Dec 29, 2018 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Community Medical Associates, Inc. Infectious Disease Past Accepting new patients

Locations

234 E Gray St
Ste 768
Louisville, KY 40202
Phone (502) 394-6470

4950 Norton Healthcare Blvd
Ste 303
Louisville, KY 40241
Phone (502) 394-6470

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

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

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

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

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: kobiokoye280482@direct.vidanthealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1417204546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E GRAY ST STE 768",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021901",
            "telephone_number": "502-446-6434",
            "fax_number": "502-394-3610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342818",
            "country_code": "US",
            "telephone_number": "252-847-5473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBIOKOYE",
        "first_name": "KENECHUKWU",
        "middle_name": "OBINNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-08",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KY",
            "license": "56843",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD457850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kobiokoye280482@direct.vidanthealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kobiokoye241962@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "234 E Gray St Ste 768",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.