Active NPI
Keke S Uzokwe, MD
- Internal Medicine Physician
- Oak Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01061346
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000480318 | Other | IN | ANTHEM |
| 200810890 | Medicaid | IN |
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
Enrollment records 1
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
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
- Methodist Hospitals Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36111657 | IL | MD | Specialist |
| 01061346 | IN | MD | Internal Medicine Physician |
| 208M00000 | IN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| The Methodist Hospitals, Inc | Internal Medicine | Current | 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.
-
- Hospitalist Physician
- Hobart, IN
- NPI 1013497106
-
- Hospitalist Physician
- Gary, IN
- NPI 1528311149
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1720416555
IN
-
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
-
- Neurology Physician
- Gary, IN
- NPI 1720290588
-
- Ophthalmology Physician
- Madison Heights, MI
- NPI 1114962461
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1386822989
-
- Emergency Medicine Physician
- La Porte, IN
- NPI 1275558942
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.