Individual provider Active NPI

Osehotue Okojie, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1700848116
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N0329 Issued in TX
Practice address
3825 Ross Ave
Ste 150
Dallas, TX 75204-5245
Phone
(214) 515-9646
Fax
(214) 515-9654
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N0329 TX Primary

Addresses

Primary practice location

3825 Ross Ave
Ste 150
Dallas, TX 75204-5245

Mailing address

3825 Ross Ave
Ste 150
Dallas, TX 75204-5245
Phone (214) 515-9646

Other identifiers 1

IdentifierTypeStateIssuer
203801001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081107000358 TX Practitioner - Family Practice 1850349770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3825 Ross Ave
Suite 150
Dallas, TX 75204-5245
Phone (214) 515-9646

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N0329TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Family and Urgent Care Clinics, PA Family Medicine CurrentSince Feb 5, 2009 Accepting new patients
Allcare Family & Urgent Care Clinics, PA Past Accepting new patients

Locations

4101 Ross Ave
Ste 500
Dallas, TX 75204
Phone (214) 515-9646

3825 Ross Ave
Ste 150
Dallas, TX 75204
Phone (214) 515-9646

4801 Bryan St
Ste 500
Dallas, TX 75204
Phone (214) 515-9646

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEDADA/Endpoint/BEDADA

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1700848116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 ROSS AVE",
            "address_2": "STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045245",
            "telephone_number": "214-515-9646",
            "fax_number": "214-515-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 ROSS AVE",
            "address_2": "STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045245",
            "telephone_number": "214-515-9646",
            "fax_number": "214-515-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOJIE",
        "first_name": "OSEHOTUE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203801001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.