Active NPI
Margaret Ifeanyichukwu Okonkwo, MD
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1689747859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME82932
- Practice address
- 4112 NE 1St Ave
Miami, FL 33137-3504 - Phone
- (305) 576-5437
- Fax
- (305) 576-5120
- NPI assigned
- Nov 16, 2006
- 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 | ME82932 | FL | Primary |
Addresses
Primary practice location
4112 NE 1St Ave
Miami, FL 33137-3504
Mailing address
2731 ML King Jr Blvd
Tuscaloosa, AL 35401-5235
Phone (205) 349-3250
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179325 | Other | FL | JMH |
| SG07583977 | Other | FL | VISTA HEALTH PLAN |
| 2149727 | Other | FL | FIRST HEALTH |
| 269034900 | Medicaid | FL | |
| 50311058 | Other | FL | PREFERRED MEDICAL PLAN |
| 198025 | Other | FL | AMERIGROUP |
| 37607 | Other | FL | BLUE CROSS BLUE SHIELD |
| 48360 | Other | FL | NEIGHBORHOOD HEALTH PARTE |
| 7208679 | Other | FL | AETNA |
| 293667 | Other | FL | AVMED |
| 1492927 | Other | FL | CIGNA |
| 29321 | Other | FL | PMP HMO |
| P3221934 | Other | FL | MULTIPLAN |
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 |
|---|---|---|---|
| ME82932 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okonkwo Care Pediatrics LLC | Pediatrics | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Miami, FL
- NPI 1356055453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1689747859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2731 ML KING JR BLVD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354015235",
"telephone_number": "205-349-3250",
"fax_number": "205-752-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4112 NE 1ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373504",
"telephone_number": "305-576-5437",
"fax_number": "305-576-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKONKWO",
"first_name": "MARGARET",
"middle_name": "IFEANYICHUKWU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME82932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JMH",
"identifier": "179325",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA HEALTH PLAN",
"identifier": "SG07583977",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2149727",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269034900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICAL PLAN",
"identifier": "50311058",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "198025",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "37607",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PARTE",
"identifier": "48360",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7208679",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "293667",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1492927",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PMP HMO",
"identifier": "29321",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "P3221934",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.