Active NPI
Evangelyn C Okereke, M.D.
- Pediatric Anesthesiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- S0965
- Practice address
- 801 7TH Ave
Fort Worth, TX 76104-2733 - Phone
- (682) 885-4054
- NPI assigned
- May 11, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD-54421 | IA | |
| Pediatric Anesthesiology Physician | 207LP3000X | 13146 | WI | |
| Anesthesiology Physician | 207L00000X | 13146 | WI | |
| Pediatric Anesthesiology Physician | 207LP3000X | S0965 | TX | Primary |
Addresses
Primary practice location
801 7TH Ave
Fort Worth, TX 76104-2733
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-1860
Other practice location 1
Marshfield Clinic
1000 N Oak Avenue
Marshfield, WI 54449-5703
Phone (715) 221-5511
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | ||
| Direct Messaging Address | eokereke137397@CookChildrens.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, LA, TX, IA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-3121
Hospital & facility affiliations
- Mercyone Des Moines Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0965 | TX | MD | Pediatric Anesthesiology Physician |
| 13146 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cook Children'S Physician Network | Current | Accepting new patients | |
| MCHS Hospitals Inc | Anesthesiology | Current | Accepting new patients |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Anesthesiology | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Cook Children'S Physician Network | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Past | Accepting new patients | |
| Cook Children'S Medical Center | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121
1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240
1501 Kings Hwy
Rm 1201
Shreveport, LA 71103
Phone (318) 675-4881
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
4100 W University Dr
Prosper, TX 75078
Phone (682) 303-4200
136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Interoperability endpoints
- eokereke137397@cookchildrens.direct-ci.com
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 19
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.
-
- Anesthesiology Physician
- West Des Moines, IA
- NPI 1194516146
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
Anesthesiology
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1689808339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 733784",
"city": "DALLAS",
"state": "TX",
"postal_code": "753733784",
"telephone_number": "682-885-1860",
"fax_number": "682-885-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 7TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042733",
"telephone_number": "682-885-4054"
}
],
"practiceLocations": [
{
"address_1": "Marshfield Clinic",
"address_2": "1000 N Oak Avenue",
"address_purpose": "LOCATION",
"city": "Marshfield",
"state": "WI",
"postal_code": "544495703",
"country_code": "US",
"telephone_number": "715-221-5511",
"fax_number": "715-389-0626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKEREKE",
"first_name": "EVANGELYN",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-11",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "MD-54421",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "WI",
"license": "13146",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "13146",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "TX",
"license": "S0965",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "Marshfield Clinic",
"address_2": "1000 N Oak Avenue",
"city": "Marshfield",
"state": "WI",
"country_code": "US",
"postal_code": "544495703",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eokereke137397@CookChildrens.direct-ci.com",
"affiliation": "N",
"address_1": "801 7th Ave",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761042733",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.