Active NPI
Gloria Onyekachi Okereke, D.O.
- Family Medicine Physician
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102208043
- Practice address
- 3600 S Glebe Rd Ste 110
Arlington, VA 22202-2379 - Phone
- (571) 665-6490
- NPI assigned
- Jun 12, 2015
- Last updated
- Mar 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036147288 | IL | |
| Family Medicine Physician | 207Q00000X | 125-067609 | IL | |
| Family Medicine Physician | 207Q00000X | 0102208043 | VA | Primary |
Addresses
Primary practice location
3600 S Glebe Rd Ste 110
Arlington, VA 22202-2379
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-1277
Phone (630) 469-9200
Other practice location 1
14741 S Ravinia Ave
Orland Park, IL 60462-3100
Phone (708) 226-8125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036147288 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gokereke233179@direct.edward.org | ||
| Direct Messaging Address | gokereke1268752@soc.inova.org | Health Information Exchange (HIE) | Inova Physician Partners, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3914 Centreville Rd
Suite 250
Chantilly, VA 20151-3290
Phone (703) 435-1223
400 Fannon St
FL 3
Alexandria, VA 22301-1011
Phone (571) 665-6480
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.98 of 100
- Quality
- 87.97
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036147288 | IL | MD | Family Medicine Physician |
| 125-067609 | IL | MD | Family Medicine Physician |
| 0102208043 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Physician Partners, LLC | Family Medicine | Current | Accepting new patients |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
14741 S Ravinia Ave
Orland Park, IL 60462
Phone (708) 226-8125
3600 S Glebe Rd
Ste 110
Arlington, VA 22202
Phone (571) 665-6480
3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223
Interoperability endpoints
- gokereke1268752@soc.inova.org
- gokereke179482@uchospital.direct-ci.com
Organizations & group practices 4
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.
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Orthopaedic Surgery Physician
- Leesburg, VA
- NPI 1811204050
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1497136733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606741277",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 S GLEBE RD STE 110",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222022379",
"telephone_number": "571-665-6490"
}
],
"practiceLocations": [
{
"address_1": "14741 S Ravinia Ave",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"postal_code": "604623100",
"country_code": "US",
"telephone_number": "708-226-8125",
"fax_number": "708-226-8170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKEREKE",
"first_name": "GLORIA",
"middle_name": "ONYEKACHI",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-12",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036147288",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125-067609",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102208043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036147288",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gokereke233179@direct.edward.org",
"affiliation": "N",
"address_1": "14741 S Ravinia Ave",
"city": "Orland Park",
"state": "IL",
"country_code": "US",
"postal_code": "604623100",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gokereke1268752@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Physician Partners, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "3600 S Glebe Rd Ste 110",
"city": "Arlington",
"state": "VA",
"country_code": "US",
"postal_code": "222022379",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.