Individual provider Active NPI

Keke S Uzokwe, MD

  • Internal Medicine Physician
  • Oak Park, IL
National Provider Identifier
1629079488
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01061346 Issued in IN
Practice address
167 N Marion St
Oak Park, IL 60301-1032
Phone
(708) 351-9743
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 36111657 IL
Hospitalist Physician 208M00000X 208M00000 IN
Internal Medicine Physician 207R00000X 01061346 IN Primary

Addresses

Primary practice location

167 N Marion St
Oak Park, IL 60301-1032

Mailing address

167 N Marion St
Oak Park, IL 60301-1032
Phone (708) 351-9743

Other identifiers 2

IdentifierTypeStateIssuer
000000480318OtherINANTHEM
200810890MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060821000522 IN Practitioner - Internal MedicinePractitioner - Infectious Disease 7810955739 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physician Partners PCGroup PAC ID 1557613130, 31 clinicians
Sound Physicians of Indiana LLCGroup PAC ID 4981841780, 76 clinicians

Practice addresses (Care Compare)

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 942-0551

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000

600 Richard Gordon Hatcher Blvd
Gary, IN 46402-6001
Phone (219) 886-4000

Hospital & facility affiliations

  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36111657ILMDSpecialist
01061346INMDInternal Medicine Physician
208M00000INMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince Feb 16, 2013 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
The Methodist Hospitals, Inc Internal Medicine CurrentSince Feb 16, 2013 Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
Indiana University Health la Porte Hospital Inc Past Accepting new patients
Maple City Emergency Physicians, LLP Past Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081

4844 Broadway
Gary, IN 46408
Phone (219) 884-2400

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1629079488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 N MARION ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011032",
            "telephone_number": "708-351-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 N MARION ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011032",
            "telephone_number": "708-351-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOKWE",
        "first_name": "KEKE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "36111657",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "208M00000",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01061346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000480318",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200810890",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.