Catherine N Okoronkwo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K2252 Issued in TX

Practice address

1711 W. Irving Blvd
Ste 151
Irving, TX 75061

Phone

(972) 254-7272

Fax

(972) 254-7575

NPI assigned

Oct 2, 2006

Sex

Female

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 2

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

Internal Medicine

Education

Columbia University College of Physicians and Surgeons, 1988

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

Locations

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.

• Kelsom Clinic PA

  • Family Medicine Physician
  • Irving, TX
  • NPI 1104840594
  Medicare reassignment NPD Authorized official
• Pain Treatment Clinics PA

  • Pain Clinic/Center
  • Dallas, TX
  • NPI 1811073810
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1447343017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W. IRVING BLVD",
            "address_2": "STE 151",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75061",
            "telephone_number": "972-254-7272",
            "fax_number": "972-254-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W. IRVING BLVD",
            "address_2": "STE 151",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75061",
            "telephone_number": "972-254-7272",
            "fax_number": "972-254-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORONKWO",
        "first_name": "CATHERINE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127465604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0080MS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Injury Medical, PLLC
• Oklahoma Injury Medical, PLLC
• Sabrina Okoli, BCBA
• Doris Chikaodiri Okonkwo, NP
• Prisca Chinelo Okonkwo, NP
• Francisca Uchenna Okuma
• Zee Okunna, DC
• Brittnae Alexis Olasehinde
• Bekele Chamiso Olbamo, MD
• Matthew Quinn Olden, R.T. (R),(T)

• Internal Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.