NPIMap

Individual provider Active NPI

Ifueko Belinda Okundaye, MD

  • Internal Medicine Physician
  • Neenah, WI
National Provider Identifier
1467460410
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37832 Issued in WI
Practice address
1540 Lyon Dr
Neenah, WI 54956-5069
Phone
(920) 727-4946
Fax
(920) 727-4956
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 37832 WI
Internal Medicine Physician 207R00000X 37832 WI Primary

Addresses

Primary practice location

1540 Lyon Dr
Neenah, WI 54956-5069

Mailing address

1540 Lyon Dr
Neenah, WI 54956-5069
Phone (920) 727-4946

Other identifiers 1

IdentifierTypeStateIssuer
32229200MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address iokundaye92985@direct.myadvocateaurora.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609000226 WI Practitioner - Internal MedicinePractitioner - Nephrology 9638152101 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians
Ascension Medical Group-Fox Valley Wisconsin, IncGroup PAC ID 0244142420, 260 clinicians
Aspirus Wausau Hospital IncGroup PAC ID 6406757442, 242 clinicians

Practice addresses (Care Compare)

130 2ND St
Neenah, WI 54956-2883
Phone (920) 725-0077

1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 738-2000

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000

1818 N Meade St
Appleton, WI 54911-3454

1818 N Meade St Room
N255
Appleton, WI 54911-3454
Phone (920) 730-3383

2251 N Shore Dr
Suite 100
Rhinelander, WI 54501-6710
Phone (715) 361-2000

2700 W 9TH Ave
Oshkosh, WI 54904-7247

3 Neenah Ctr
Neenah, WI 54956-3070

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 847-2121

4480 W Spencer St
Appleton, WI 54915
Phone (920) 738-4800

500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 223-2000

600 N Westhaven Dr
Oshkosh, WI 54904-6926
Phone (920) 725-0077

900 E Grant St
Thedacare Orthopedic Care
Appleton, WI 54911-3454
Phone (920) 831-5050

Hospital & facility affiliations

  • Thedacare at Home Hospice, Appleton, WI, CCN 521504
  • Thedacare Regional Medical Center - Appleton Inc Hospital, Appleton, WI, CCN 520160
  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030
  • Thedacare Regional Med Ctr - Neenah Hospital, Neenah, WI, CCN 520045
  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009
  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37832WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 16, 2022 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince May 15, 2013 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Aug 16, 2022 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 19, 2022 Accepting new patients
Aspirus Wausau Hospital Inc CurrentSince Aug 19, 2022 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince May 15, 2013 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 16, 2022 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Thedacare, Incorporated CurrentSince May 18, 2013 Accepting new patients
Aspirus Wausau Hospital, Inc. Internal Medicine Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1531 S Madison St
Appleton, WI 54915
Phone (920) 730-4411

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

200 Theda Clark Medical Plz
Ste 210
Neenah, WI 54956
Phone (920) 360-3787

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

5409 Vern Holmes Dr
Stevens Point, WI 54482
Phone (715) 342-1015

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: iokundaye92985@direct.myadvocateaurora.org
  • Direct secure messaging: iokundaye9585@direct.thedacare.org

Organizations & group practices 10

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.

Hospital & facility affiliations 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1467460410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 LYON DR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549565069",
            "telephone_number": "920-727-4946",
            "fax_number": "920-727-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 LYON DR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549565069",
            "telephone_number": "920-727-4946",
            "fax_number": "920-727-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNDAYE",
        "first_name": "IFUEKO",
        "middle_name": "BELINDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "37832",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "37832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32229200",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1540 Lyon Dr",
            "city": "Neenah",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549565069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iokundaye92985@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "1540 Lyon Dr",
            "city": "Neenah",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549565069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.