Samuel Osifo Okpaku, M.D.PHD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

18327 Issued in TN

Practice address

1233 17TH Ave S
Nashville, TN 37212-2801

Phone

(615) 329-4182

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Center for Health Culture and Society

  • Community/Behavioral Health Agency
  • Nashville, TN
  • NPI 1346622560
  NPD (past) Authorized official
• Meharry Medical College

  • Clinic/Center
  • Nashville, TN
  • NPI 1205859279
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1427070879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 17TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122801",
            "telephone_number": "615-329-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 17TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122801",
            "telephone_number": "615-329-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPAKU",
        "first_name": "SAMUEL",
        "middle_name": "OSIFO",
        "name_prefix": "Dr.",
        "credential": "M.D.PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "18327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0083151",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3036819",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Chidubem Okafor, MD
• Tyler Okland, M.D.
• Vanessa Ekene Okolie, DNP
• Duby Dominic Okonkwo, PHD
• Simplicius E Okoro, RN
• Andrew Chidi Okpaleke, M.D., MPH
• Abel Okuma
• Ifeoluwa Oluwaseun Okusanya, MD
• Bjarki J. Olafsson, M.D.
• Damaris Olagundoye, M.D.

• Psychiatry Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.