Individual provider Active NPI

Anthony Sunday Otekeiwebia, M.D

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1689940165
Registry record updated Jul 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47973 Issued in KY
Practice address
University of Kentucky
800 Rose Street
Lexington, KY 40536-2987
Phone
(832) 552-3393
NPI assigned
Mar 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47973 KY Primary

Addresses

Primary practice location

University of Kentucky
800 Rose Street
Lexington, KY 40536-2987

Mailing address

740 S Limestone RM L543
Lexington, KY 40536-0293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180824000747 FL Practitioner - Pulmonary Disease 8628384179 Reassigns benefits to 1 organization
I20240321000740 GA Practitioner - Internal Medicine 8628384179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, 498 clinicians
Southland Hospitalist Group, LLCGroup PAC ID 8022272913, 22 clinicians

Practice addresses (Care Compare)

1607 Saint James CT
Suite 2
Tallahassee, FL 32308-5352
Phone (850) 878-8714

915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 228-2000

Hospital & facility affiliations

  • Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135
  • Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Hospitalist Group, LLC CurrentSince Feb 14, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Southland Bainbridge Hospitalist Group, LLC CurrentSince Feb 26, 2024 Accepting new patients
John D Archbold Memorial Hospital Inc Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

1607 Saint James Ct
Ste 2
Tallahassee, FL 32308
Phone (850) 878-8714

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1309 Thomasville Rd
Tallahassee, FL 32303
Phone (850) 431-5910

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

Interoperability endpoints

  • Direct secure messaging: aotekeiwebia21720@tallahasseememorial.direct-ci.com

Organizations & group practices 6

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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435881600000",
    "number": "1689940165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE RM L543",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KENTUCKY",
            "address_2": "800 ROSE STREET",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405362987",
            "telephone_number": "832-552-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTEKEIWEBIA",
        "first_name": "ANTHONY",
        "middle_name": "SUNDAY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2015-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "47973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.