Individual provider Active NPI

Frederick Otieno Ochieng', M.D.

  • Cardiovascular Disease Physician
  • O Fallon, IL
National Provider Identifier
1497072854
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036.153691 Issued in IL
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

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824001186 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476871963 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Vanderbilt University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Holy Family Hospital IncGroup PAC ID 7517879349, 25 clinicians
Prairie Cardiovascular Consultants LTDGroup PAC ID 3173435880, 94 clinicians
Washington County Hospital DistrictGroup PAC ID 4880599844, shared by 4 NPIs, 21 clinicians

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 Hospital, O Fallon, IL, CCN 140187
  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • St Josephs Hospital Hospital, Breese, IL, CCN 140145
  • Memorial Hospital Hospital, Chester, IL, CCN 141338
  • Washington County Hospital Hospital, Nashville, IL, CCN 141308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.153691ILMDCardiovascular Disease Physician
2016032810MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde CurrentSince Jan 8, 2022 Accepting new patients
St Anthonys Memorial Hospital of the Hospital Sisters of the Third Cardiovascular Disease CurrentSince Feb 10, 2023 Accepting new patients
St Anthonys Memorial Hospital of the Hospital Sisters of the Third CurrentSince Feb 10, 2023 Accepting new patients
St Elizabeths Hospital of the Hospital Sisters of the Third Order CurrentSince Dec 19, 2020 Accepting new patients
Prairie Cardiovascular Consultants LTD Cardiovascular Disease CurrentSince Sep 7, 2020 Accepting new patients
Memorial Hospital CurrentSince Aug 7, 2023 Accepting new patients
HSHS Holy Family Hospital Inc CurrentSince Nov 8, 2020 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 CurrentSince Dec 19, 2020 Accepting new patients
Memorial Hospital CurrentSince Aug 7, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.