Individual provider Active NPI

Phyllis I Okolo, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1568691699
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T1798 Issued in TX
Practice address
1717 Turning Basin Dr Ste 350
Houston, TX 77029-4059
Phone
(832) 344-3715
NPI assigned
Jul 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01072717A IN
Internal Medicine Physician 207R00000X T1798 TX Primary

Addresses

Primary practice location

1717 Turning Basin Dr Ste 350
Houston, TX 77029-4059

Mailing address

1717 Turning Basin Dr Ste 350
Houston, TX 77029-4059
Phone (832) 344-3715

Other practice location 1

5201 Harry Hines Blvd
House Staff & Gme
Dallas, TX 75235-7708
Phone (214) 590-8058

Other practice location 2

701 San Jacinto St
Suite 140
Houston, TX 77052
Phone (713) 325-9268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1798TXMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: phyllis.okolo@202362935902212.direct.elationemr.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1568691699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 TURNING BASIN DR STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770294059",
            "telephone_number": "832-344-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 TURNING BASIN DR STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770294059",
            "telephone_number": "832-344-3715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Harry Hines Blvd",
            "address_2": "HOUSE STAFF & GME",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357708",
            "country_code": "US",
            "telephone_number": "214-590-8058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 San Jacinto St",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77052",
            "country_code": "US",
            "telephone_number": "713-325-9268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOLO",
        "first_name": "PHYLLIS",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01072717A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T1798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.