Active NPI
Frederick Otieno Ochieng', M.D.
- Cardiovascular Disease Physician
- O Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036.153691
- Practice address
- 3 Saint Elizabeth Blvd Ste 2800
O Fallon, IL 62269-1282 - Phone
- (618) 233-6044
- NPI assigned
- Apr 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2016032810 | MO | |
| Cardiovascular Disease Physician | 207RC0000X | 036.153691 | IL | Primary |
Addresses
Primary practice location
3 Saint Elizabeth Blvd Ste 2800
O Fallon, IL 62269-1282
Mailing address
3 Saint Elizabeth Blvd Ste 2800
O Fallon, IL 62269-1282
Phone (618) 233-6044
Other practice location 1
1215 21st Ave S
Suite 6000 Medical Center East, VUMC
Nashville, TN 37232-8300
Phone (615) 936-8590
Other practice location 2
20455 Lorain Rd Fl 2
Fairview Park, OH 44126-3530
Phone (440) 333-8600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fochieng296041@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Vanderbilt University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Washington County Hospital District
Practice addresses (Care Compare)
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
200 Health Care Dr
Greenville, IL 62246-1154
Phone (618) 664-1230
3 Saint Elizabeth Blvd
Suite 2800
O Fallon, IL 62269-1099
Phone (618) 233-6044
705 S Grand
Nashville, IL 62263-1534
705 S Grand St
Nashville, IL 62263-1534
Phone (618) 327-8236
Hospital & facility affiliations
- HSHS St Elizabeth'S Hospital
- Anderson Hospital
- St Josephs Hospital
- Memorial Hospital
- Washington County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.153691 | IL | MD | Cardiovascular Disease Physician |
| 2016032810 | MO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Hospital Breese of the Hospital Sisters of the Third Orde | Current | Accepting new patients | |
| St Anthonys Memorial Hospital of the Hospital Sisters of the Third | Cardiovascular Disease | Current | Accepting new patients |
| St Anthonys Memorial Hospital of the Hospital Sisters of the Third | Current | Accepting new patients | |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order | Current | Accepting new patients | |
| Prairie Cardiovascular Consultants LTD | Cardiovascular Disease | Current | Accepting new patients |
| Memorial Hospital | Current | Accepting new patients | |
| HSHS Holy Family Hospital Inc | Current | Accepting new patients | |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order | Current | Accepting new patients | |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order | Cardiovascular Disease | Current | Accepting new patients |
| Memorial Hospital | Current | Accepting new patients | |
| HSHS Medical Group Inc | Past | Accepting new patients |
Locations
9515 Holy Cross Ln
Ste 1
Breese, IL 62230
Phone (618) 526-4511
409 W Oak St
Carbondale, IL 62901
Phone (618) 536-2565
1900 State St
Chester, IL 62233
Phone (618) 826-2388
1770 E Lake Shore Dr
Ste 105
Decatur, IL 62521
Phone (217) 329-1000
1188 S State Route 157
Edwardsville, IL 62025
Phone (618) 344-3046
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808
200 Health Care Dr
#1501
Greenville, IL 62246
Phone (616) 664-1230
705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200
3 Saint Elizabeth Blvd
Ste 2800
O Fallon, IL 62269
Phone (618) 233-6044
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511
619 E Mason St
Ste 4P57
Springfield, IL 62701
619 E Mason St
#4P57
Springfield, IL 62701
3051 Hollis Dr
Springfield, IL 62704
Phone (217) 523-5406
619 E Mason St
Ste 4
Springfield, IL 62701
Interoperability endpoints
- fochieng296041@ewd.direct.hshs.org
Organizations & group practices 11
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.
-
- General Acute Care Hospital
- Greenville, IL
- NPI 1205850690
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1982714218
Cardiovascular Disease
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Belleville, IL
- NPI 1194736728
-
- Critical Access Hospital
- Chester, IL
- NPI 1851390132
-
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
- General Acute Care Hospital
- Breese, IL
- NPI 1457319154
-
- Institutional Pharmacy
- Chester, IL
- NPI 1023603289
-
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- O Fallon, IL
- NPI 1326268202
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- Critical Access Hospital
- Chester, IL
- NPI 1851390132
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
-
- Rural Health Clinic/Center
- Breese, IL
- NPI 1013002658
Hospital
-
- General Acute Care Hospital
- Breese, IL
- NPI 1457319154
-
- Rural Health Clinic/Center
- Nashville, IL
- NPI 1316555816
Hospital
-
- Critical Access Hospital
- Nashville, IL
- NPI 1659321560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1497072854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SAINT ELIZABETH BLVD STE 2800",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691282",
"telephone_number": "618-233-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SAINT ELIZABETH BLVD STE 2800",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691282",
"telephone_number": "618-233-6044"
}
],
"practiceLocations": [
{
"address_1": "1215 21st Ave S",
"address_2": "Suite 6000 Medical Center East, VUMC",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372328300",
"country_code": "US",
"telephone_number": "615-936-8590",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20455 Lorain Rd Fl 2",
"address_purpose": "LOCATION",
"city": "Fairview Park",
"state": "OH",
"postal_code": "441263530",
"country_code": "US",
"telephone_number": "440-333-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OCHIENG'",
"first_name": "FREDERICK",
"middle_name": "OTIENO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-26",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2016032810",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036.153691",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fochieng296041@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "3 Saint Elizabeth Blvd Ste 2800",
"city": "O Fallon",
"state": "IL",
"country_code": "US",
"postal_code": "622691282",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.