Individual provider Active NPI

Benedict O Okwara, M.D.

  • Internal Medicine Physician
  • Monroe, NC
National Provider Identifier
1487613840
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33878 Issued in NC
Practice address
404 South Sutherland Ave.
Monroe, NC 28112
Phone
(704) 291-9267
Fax
(704) 283-7939
NPI assigned
Mar 22, 2006
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33878 NC Primary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 33878 NC
Pediatrics Physician 208000000X 33878 NC
Pediatric Adolescent Medicine Physician 2080A0000X 33878 NC

Addresses

Primary practice location

404 South Sutherland Ave.
Monroe, NC 28112

Mailing address

404 South Sutherland Ave.
Monroe, NC 28112-5060
Phone (704) 291-9267

Other identifiers 2

IdentifierTypeStateIssuer
7963995MedicaidNC
N33878MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20110209000932 NC Practitioner - Internal Medicine 8224934757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Care Medical Clinic, PAGroup PAC ID 5395641823, 14 clinicians

Practice addresses (Care Compare)

1426 E Main St
Albemarle, NC 28001-5236
Phone (704) 291-9267

2450 Aberdeen Blvd
Gastonia, NC 28054-0644
Phone (704) 228-9194

404 S Sutherland Ave
Monroe, NC 28112-5060
Phone (704) 291-9267

9040 Nations Ford Rd
Charlotte, NC 28273-5716
Phone (704) 291-9267

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Medical Clinic Internal Medicine CurrentSince Oct 4, 1994 Accepting new patients
First Care Medical Clinic Internal Medicine CurrentSince Oct 4, 1994 Accepting new patients

Locations

210 Main St W
Locust, NC 28097
Phone (704) 888-6156

404 S Sutherland Ave
Monroe, NC 28112

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1487613840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SOUTH SUTHERLAND AVE.",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125060",
            "telephone_number": "704-291-9267",
            "fax_number": "704-283-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SOUTH SUTHERLAND AVE.",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "28112",
            "telephone_number": "704-291-9267",
            "fax_number": "704-283-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKWARA",
        "first_name": "BENEDICT",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "33878",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NC",
            "license": "33878",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "33878",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NC",
            "license": "33878",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7963995",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N33878",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.