Izi Daniel Obokhare, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

P1799 Issued in TX

Practice address

1400 S Coulter St
Amarillo, TX 79106-1786

Phone

(806) 414-9558

Fax

(806) 354-5693

NPI assigned

Jun 18, 2007

Last updated

Mar 31, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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

General Surgery

Education

Howard University College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Tech University Health Sciences Center AmarilloGroup PAC ID 9234037847, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bsa Hospital Hospital, Amarillo, TX, CCN 450231
• Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iobokhare87621@ahs.direct-ci.com
• Direct secure messaging: iziobokhare@ttuhsc.allscriptsdirect.net

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.

• Texas Tech University Health Sciences Center Amarillo

  dba Texas Tech UHSC Family Medicine

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1013942150
  Medicare reassignment Care Compare group NPD
• Deaf Smith County Hospital District

  dba Hereford Regional Medical Center

  • General Acute Care Hospital
  • Hereford, TX
  • NPI 1568454403
  Medicare reassignment NPD
• Deaf Smith County Hospital District

  dba Hereford Health Clinic

  • Family Medicine Physician
  • Hereford, TX
  • NPI 1811987027
  NPD
• Texas Tech University Health Sciences Center

  dba TTUHSC Pharmacy

  • Pharmacy
  • Lubbock, TX
  • NPI 1609810977
  NPD
• Texas Tech University Health Sciences Center Amarillo

  dba Texas Tech UHSC Surgery

  • Surgery Physician
  • Amarillo, TX
  • NPI 1033144175
  NPD
• Texas Tech University Health Sciences Center Amarillo

  dba Texas Tech UHSC Pediatrics

  • Pediatrics Physician
  • Amarillo, TX
  • NPI 1386675940
  NPD
• Texas Tech University Health Sciences Center Amarillo

  dba TTUHSC Physical Rehabilitation Specialty Program

  • Physical Therapist
  • Amarillo, TX
  • NPI 1679841134
  NPD
• Permian Premier Health Services Inc

  • Contractor
  • Odessa, TX
  • NPI 1285664763
  NPD (past)
• Permian Premier Health Services, Inc

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1548031552
  NPD (past)
• Texas Tech University Health Sciences Center El Paso

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1598705055
  NPD (past)

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

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984
  Care Compare affiliation
• Northwest Texas Healthcare System Inc

  dba Northwest Texas Healthcare System

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1467442418
  Care Compare affiliation

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1437354784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061708",
            "telephone_number": "806-414-9558",
            "fax_number": "806-354-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061786",
            "telephone_number": "806-414-9558",
            "fax_number": "806-354-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBOKHARE",
        "first_name": "IZI",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "P1799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36532231",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308994803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200570870 A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308994802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NWTX Physician Network, PLLC
• Lisa Ann O'Brien, OD
• James Michael O'Connor, O.D.
• Montana Joe O'Dell, MD
• Keely J O'Neal, R.PH.
• Joy Obokhare, M.D.
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
• Oceans Behavioral Hospital of Amarillo, LLC (Oceans Behavioral Hospital of Amarillo)
• Briana Ochoa

• Surgery Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.