Individual provider Active NPI

Chukwudi Okpala, M.D.

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1437449980
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036135806 Issued in IL
Practice address
8420 W Bryn Mawr Ave Ste 300
Chicago, IL 60631-3436
Phone
(708) 831-8282
Fax
(773) 714-1229
NPI assigned
Apr 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036135806 IL
Anesthesiology Physician 207L00000X 036135806 IL Primary

Addresses

Primary practice location

8420 W Bryn Mawr Ave Ste 300
Chicago, IL 60631-3436

Mailing address

PO Box 443
Bedford Park, IL 60499-0443
Phone (708) 831-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160607001351 IL Practitioner - Anesthesiology 3173833431 Reassigns benefits to 3 organizations
I20180824000381 WI Practitioner - Anesthesiology 3173833431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Anesthesiologists Chicago LLCGroup PAC ID 9436119542, 47 clinicians

Practice addresses (Care Compare)

9550 W Higgins Rd
Suite 1100
Rosemont, IL 60018-4962
Phone (773) 355-5300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036135806ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premiere Anesthesia Group LLC CurrentSince Jul 1, 2017 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jul 1, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Pri Chicago PLLC CurrentSince Jan 11, 2022 Accepting new patients
Priority Anesthesia LLC Anesthesiology CurrentSince Jul 25, 2018 Accepting new patients
Board of Trustees of the University of Illinois Anesthesiology CurrentSince Jul 1, 2016 Accepting new patients
Mobile Anesthesiologists Chicago LLC Anesthesiology CurrentSince Jan 1, 2020 Accepting new patients
West Central Anesthesiology Group LTD Anesthesiology Past Accepting new patients

Locations

1740 W Taylor St
#3200
Chicago, IL 60612
Phone (312) 996-4021

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1740 W Taylor St
#3200W
Chicago, IL 60612
Phone (312) 996-4020

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

8420 W Bryn Mawr Ave
Ste 300
Chicago, IL 60631
Phone (773) 756-5760

188 W Industrial Dr
Ste 110
Elmhurst, IL 60126
Phone (331) 979-7475

40 S Clay St
Hinsdale, IL 60521
Phone (630) 323-4202

1243 Rickert Dr
Naperville, IL 60540
Phone (630) 303-5650

9550 W Higgins Rd
Ste 1100
Rosemont, IL 60018
Phone (773) 756-5760

8930 Gross Point Rd
Ste 700
Skokie, IL 60077
Phone (847) 966-8930

6495 S 27th St
Franklin, WI 53132
Phone (414) 574-0253

119 Elizabeth Ln
Genoa City, WI 53128
Phone (224) 678-1080

Interoperability endpoints

  • Direct secure messaging: cokpala17350@uihealth.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1302998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1437449980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "604990443",
            "telephone_number": "708-831-8282",
            "fax_number": "773-714-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 W BRYN MAWR AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313436",
            "telephone_number": "708-831-8282",
            "fax_number": "773-714-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPALA",
        "first_name": "CHUKWUDI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-17",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036135806",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036135806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.