Individual provider Active NPI

Michael Opoku, M.D.

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1578520235
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24138 Issued in OK
Practice address
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone
(405) 752-3962
Fax
(405) 752-3963
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24138 OK Primary
Internal Medicine Physician 207R00000X 2016016015 MO
Hospitalist Physician 208M00000X 2016016015 MO

Addresses

Primary practice location

4300 W Memorial Rd
Oklahoma City, OK 73120-8304

Mailing address

530 N Monte Vista St
Suite a
Ada, OK 74820-4675
Phone (580) 436-7101

Other identifiers 2

IdentifierTypeStateIssuer
16876235001OtherOKBCBS
200038950AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, MO, IL, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20041110000714 OK Practitioner - Internal MedicinePractitioner - Hospitalist 2769445741 Reassigns benefits to 2 organizations
I20170110001030 MO Practitioner - Internal MedicinePractitioner - Hospitalist 2769445741 Reassigns benefits to 4 organizations
I20250321003107 IL Practitioner - Hospitalist 2769445741 Reassigns benefits to 1 organization
I20250408000890 TX Practitioner - Internal Medicine 2769445741 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians
Lester E Cox Medical CentersGroup PAC ID 5799787784, 240 clinicians
Vanguard Inpatient Physicians PLLCGroup PAC ID 4183907652, 32 clinicians
Ies HSP Oklahoma LLCGroup PAC ID 2163863341, 14 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-7820

3801 S National Ave
Springfield, MO 65807-6090
Phone (417) 269-7728

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

4645 Sweetwater Blvd
Suite 200
Sugar Land, TX 77479-3016
Phone (281) 565-1112

5602 SW Lee Blvd
Lawton, OK 73505-9635
Phone (580) 531-4700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Heights Medical Group SC CurrentSince Feb 1, 2025 Accepting new patients
Physician Groups LC Internal Medicine CurrentSince Aug 7, 2017 Accepting new patients
Lester E Cox Medical Centers CurrentSince Nov 1, 2021 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Nov 4, 2017 Accepting new patients
Fairview Heights Medical Group SC Current Accepting new patients
Spectrum Healthcare Solutions, PLLC CurrentSince Feb 12, 2017 Accepting new patients
Ies Hospitalists PLLC Hospitalist CurrentSince Mar 4, 2025 Accepting new patients
Lester E Cox Medical Centers Hospitalist CurrentSince Nov 1, 2021 Accepting new patients
St Anthonys Physician Organization Hospitalist Services, L.C. Hospitalist CurrentSince Dec 18, 2024 Accepting new patients
Ies HSP Oklahoma LLC Hospitalist CurrentSince Jul 18, 2025 Accepting new patients
Houston in Patient Physician Associates PLLC CurrentSince Feb 1, 2026 Accepting new patients
Physician Groups LC CurrentSince Aug 7, 2017 Accepting new patients
Inpatient Consultants of Texas, PLLC Internal Medicine Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients
Christian Hospital Northeast- Northwest Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

660 Mason Ridge Center Dr
Saint Louis, MO 63141
Phone (314) 273-6433

3801 S National Ave
Ste 1122
Springfield, MO 65807

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

4220 N Classen Blvd
Ste A
Oklahoma City, OK 73118
Phone (405) 768-5749

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

4645 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (281) 565-1112

Interoperability endpoints

  • Direct secure messaging: mopoku133041@direct.carenet.org
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 17

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.

View all 17

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1578520235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N MONTE VISTA ST",
            "address_2": "SUITE A",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204675",
            "telephone_number": "580-436-7101",
            "fax_number": "580-436-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208304",
            "telephone_number": "405-752-3962",
            "fax_number": "405-752-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPOKU",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "24138",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2016016015",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2016016015",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "16876235001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200038950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.