Individual provider Active NPI

James Obinna Onyirimba, M.D.

  • Nephrology Physician
  • Jackson, MS
National Provider Identifier
1720475783
Registry record updated Dec 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
29760 Issued in MS
Practice address
6501 Dogwood View Pkwy
Jackson, MS 39213-7857
Phone
(601) 899-3340
NPI assigned
Apr 16, 2015
Last updated
Dec 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 309553 LA
Nephrology Physician 207RN0300X 29760 MS Primary

Addresses

Primary practice location

6501 Dogwood View Pkwy
Jackson, MS 39213-7857

Mailing address

6501 Dogwood View Pkwy Ste a
Jackson, MS 39213-7857
Phone (601) 899-3340

Other practice location 1

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 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
I20191008000585 LA Practitioner - Internal Medicine 3971834888 Reassigns benefits to 3 organizations
I20220525002680 MS Practitioner - Nephrology 3971834888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Medical Group LLCGroup PAC ID 5092970624, 176 clinicians
Diversified Renal Group LLCGroup PAC ID 6406815299, 5 clinicians

Practice addresses (Care Compare)

312 Grammont St
Suite 404
Monroe, LA 71201-7403
Phone (318) 966-2001

6501 Dogwood View Pkwy
Suite a
Jackson, MS 39213-7857
Phone (601) 899-3340

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309553LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Medical Group LLC Internal Medicine CurrentSince Jul 20, 2020 Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Mar 26, 2021 Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Mar 26, 2021 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince May 1, 2021 Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

312 Grammont St
Ste 404
Monroe, LA 71201
Phone (318) 323-1809

517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

Interoperability endpoints

  • Direct secure messaging: james.onyirimba@direct.davitaphysiciansolutions.com
  • Direct secure messaging: jonyirimba1320797@direct.casso.us.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734825600000",
    "number": "1720475783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 DOGWOOD VIEW PKWY STE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137857",
            "telephone_number": "601-899-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 DOGWOOD VIEW PKWY",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137857",
            "telephone_number": "601-899-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4541",
            "fax_number": "318-966-4543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONYIRIMBA",
        "first_name": "JAMES",
        "middle_name": "OBINNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "309553",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "29760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.