Individual provider Active NPI

Gloria Onyekachi Okereke, D.O.

  • Family Medicine Physician
  • Arlington, VA
National Provider Identifier
1497136733
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102208043 Issued in VA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036147288MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
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, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181114000003 IL Practitioner - Family Practice 0244535748 Reassigns benefits to 1 organization
I20231207001388 DC Practitioner - Family Practice 0244535748 Reassigns benefits to 1 organization

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
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
036147288ILMDFamily Medicine Physician
125-067609ILMDFamily Medicine Physician
0102208043VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC Family Medicine CurrentSince Dec 11, 2023 Accepting new patients
Dupage Medical Group LTD CurrentSince Sep 21, 2021 Accepting new patients
Dupage Medical Group LTD CurrentSince Sep 21, 2021 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

  • Direct secure messaging: gokereke1268752@soc.inova.org
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.