Active NPI
Abiye Yvonne Okah, MD
- Pediatrics Physician
- Kansas City, MO
National Provider Identifier
1689662637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2000169531
- Practice address
- 3801 Blue Pkwy
Kansas City, MO 64130-2807 - Phone
- (816) 923-5800
- Fax
- (816) 922-7686
- NPI assigned
- Oct 12, 2005
- Last updated
- Apr 13, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2000169531 | MO | Primary |
Addresses
Primary practice location
3801 Blue Pkwy
Kansas City, MO 64130-2807
Mailing address
3449 W 143Rd Ter
Leawood, KS 66224-3654
Phone (913) 402-0325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205252000 | Medicaid | MO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2000169531 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children's Mercy Hospital | Past | Accepting new patients | |
| Swope Health Services | Past | Accepting new patients | |
| Swope Health Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1285404434
-
- Federally Qualified Health Center (FQHC)
- Independence, MO
- NPI 1477648327
-
- Children's Hospital
- Overland Park, KS
- NPI 1154400232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1689662637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3449 W 143RD TER",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662243654",
"telephone_number": "913-402-0325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 BLUE PKWY",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641302807",
"telephone_number": "816-923-5800",
"fax_number": "816-922-7686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKAH",
"first_name": "ABIYE",
"middle_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2000169531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205252000",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.