Individual provider Active NPI

Maduabuchi Uka Okoro, M.D

  • Family Medicine Physician
  • Midland, MI
National Provider Identifier
1447556436
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301097788 Issued in MI
Practice address
4000 Wellness Dr
Midland, MI 48670-2000
Phone
(989) 839-1644
Fax
(989) 839-3029
NPI assigned
Feb 8, 2011
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301097788 MI Primary

Addresses

Primary practice location

4000 Wellness Dr
Midland, MI 48670-2000

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20110715000292 MI Practitioner - Family PracticePractitioner - Internal Medicine 0648448753 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Traverse Physician Services PCGroup PAC ID 2466963806, 119 clinicians
Mymichigan Medical GroupGroup PAC ID 4981501939, 174 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

609 Quarter St
Gladwin, MI 48624-1941
Phone (989) 246-6490

703 N McEwan St
Clare, MI 48617-1440
Phone (989) 802-5000

815 N Clare Ave
Harrison, MI 48625-8176
Phone (989) 802-8415

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Michigan, PLLC CurrentSince Jun 29, 2019 Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC CurrentSince Jun 29, 2019 Accepting new patients
Apogee Medical Group, Michigan, PC CurrentSince Oct 1, 2016 Accepting new patients
Beacon Kalamazoo Inc CurrentSince Apr 24, 2017 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Family Medicine CurrentSince Jan 13, 2018 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jul 11, 2011 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Family Medicine CurrentSince Jan 13, 2018 Accepting new patients
Beacon Kalamazoo Inc CurrentSince Apr 24, 2017 Accepting new patients
Beacon Kalamazoo Inc Current Accepting new patients
Mymichigan Medical Group CurrentSince Jul 11, 2011 Accepting new patients
Mymichigan Medical Group Family Medicine Current Accepting new patients
Independent Emergency Physicians, P.C. CurrentSince Mar 8, 2015 Accepting new patients
Grand Traverse Physician Services PC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Cogent Healthcare of Michigan PC Family Medicine Past Accepting new patients
Mymichigan Medical Center Clare Past Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Interoperability endpoints

  • Direct secure messaging: mokoro10246@mymichiganhealth.midirect.net
  • Direct secure messaging: mokoro462821@direct.hfhs.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1447556436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "989-839-1644",
            "fax_number": "989-839-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "989-839-1644",
            "fax_number": "989-839-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORO",
        "first_name": "MADUABUCHI",
        "middle_name": "UKA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-08",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301097788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.