Active NPI
Nkechi A Okonkwo, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- S8475
- Practice address
- 3445 Executive Center Dr
Ste 250
Austin, TX 78731-1678 - Phone
- (512) 579-4000
- Fax
- (512) 222-0146
- NPI assigned
- Apr 4, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | S8475 | TX | Primary |
Addresses
Primary practice location
3445 Executive Center Dr
Ste 250
Austin, TX 78731-1678
Mailing address
3445 Executive Center Dr
Ste 250
Austin, TX 78731-1678
Phone (512) 579-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Texas Medical Branch at Galveston, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11111 Research Blvd
Austin, TX 78759-5264
Phone (512) 579-4000
1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 579-4000
1201 W Louis Henna Blvd
Round Rock, TX 78681-2301
Phone (512) 579-4000
12221 Mopac Expressway
Austin, TX 78758-2401
Phone (512) 579-4000
1500 Red River St
Austin, TX 78701-1918
Phone (512) 579-4000
2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (512) 579-4000
3445 Executive Ctr Dr
Suite 250
Austin, TX 78731-1678
Phone (512) 579-4000
424 Savannah Rd
Lewes, DE 19958-1462
Phone (512) 579-4000
Hospital & facility affiliations
- North Austin Medical Center
- Round Rock Medical Center
- Dell Seton Med Center at the University of TX
- St David'S Medical Center
- Ascension Seton Medical Center Austin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S8475 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurt, Jacknow, Moore, Connor, Wells, Michels, Yurco, Listrom & Huang | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
19161 Healthy Way
Rehoboth Beach, DE 19971
Phone (302) 703-3630
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
3445 Executive Center Dr
Ste 250
Austin, TX 78731
Phone (512) 339-1275
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
- NPI 1255395810
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1093810327
-
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
-
- General Acute Care Hospital
- Austin, TX
- NPI 1629021845
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1649223645
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1730574971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3445 EXECUTIVE CENTER DR",
"address_2": "STE 250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311678",
"telephone_number": "512-579-4000",
"fax_number": "512-222-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 EXECUTIVE CENTER DR",
"address_2": "STE 250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311678",
"telephone_number": "512-579-4000",
"fax_number": "512-222-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKONKWO",
"first_name": "NKECHI",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-04",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "S8475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.