NPIMap

Individual provider Active NPI

Adaobi Okonkwo, MD

  • Family Medicine Physician
  • La Pine, OR
National Provider Identifier
1528320140
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD180509 Issued in OR
Practice address
51600 Huntington Rd
La Pine, OR 97739-8887
Phone
(541) 536-3435
NPI assigned
Jun 10, 2012
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD180509 OR Primary

Addresses

Primary practice location

51600 Huntington Rd
La Pine, OR 97739-8887

Mailing address

PO Box 3300
La Pine, OR 97739-3300
Phone (541) 536-3435

Other practice location 1

2073 Olympic St
Springfield, OR 97477-3413
Phone (541) 682-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170223002409 OR Practitioner - Family Practice 4284940198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Pine Community Health CenterGroup PAC ID 8224187018, 13 clinicians

Practice addresses (Care Compare)

51600 Huntington Rd
La Pine, OR 97739-9626

51600 S Huntington Dr
Lapine, OR 97739-9626
Phone (541) 536-3435

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
La Pine Community Health Center CurrentSince Aug 9, 2021 Accepting new patients
Lane County Oregon CurrentSince Jun 1, 2020 Accepting new patients
La Pine Community Health Center CurrentSince Aug 9, 2021 Accepting new patients
La Pine Community Health Center Past Accepting new patients

Locations

1022 Green Acres Rd
Eugene, OR 97408
Phone (541) 682-7206

51600 Huntington Rd
La Pine, OR 97739
Phone (541) 385-7129

51600 Huntington Rd
Ste 101
La Pine, OR 97739
Phone (541) 536-3435

51600 Huntington Rd
Ste C
La Pine, OR 97739
Phone (541) 536-3435

2073 Olympic St
Springfield, OR 97477
Phone (541) 682-3530

Interoperability endpoints

  • Direct secure messaging: adaobii.okonkwo.p1@direct.lanecounty.nextgenshare.com
  • Direct secure messaging: aokonkwo351775@direct.ochin.org
  • FHIR API: https://webprd.ochin.org/prd-fhir/mychartlpchc/api/FHIR/R4

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 6

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": "1339286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1528320140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3300",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977393300",
            "telephone_number": "541-536-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51600 HUNTINGTON RD",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977398887",
            "telephone_number": "541-536-3435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2073 Olympic St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974773413",
            "country_code": "US",
            "telephone_number": "541-682-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "ADAOBI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-10",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD180509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Pine, OR

Sources for this page

Verify at the official NPI Registry.