Individual provider Active NPI

Kenneth Azuka Okpor, M.D.

  • Pulmonary Disease Physician
  • Memphis, TN
National Provider Identifier
1801830849
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
37282 Issued in TN
Practice address
6025 Walnut Grove Rd
Suite 508
Memphis, TN 38120-2131
Phone
(901) 767-5864
Fax
(901) 767-6591
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 37282 TN Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 37282 TN

Addresses

Primary practice location

6025 Walnut Grove Rd
Suite 508
Memphis, TN 38120-2131

Mailing address

6025 Walnut Grove Rd
Suite 508
Memphis, TN 38120-2131
Phone (901) 767-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, 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
I20040617001518 TN Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 6901880632 Reassigns benefits to 1 organization
I20100616000172 MS Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 6901880632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Lung Physicians Foundation, Inc.Group PAC ID 4981876307, 57 clinicians

Practice addresses (Care Compare)

2120 Exeter Rd
Suite 250
Germantown, TN 38138-3931
Phone (901) 767-5864

363 Southcrest Cir
Southaven, MS 38671-4737

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2980

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.71 of 100Reported as group
Quality
71.4
Promoting interoperability
100
Improvement activities
40
Cost
72.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital Past Accepting new patients
SMZ Specialists, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kokpor4157@direct.bmhcc.org

Organizations & group practices 3

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 2

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1801830849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD",
            "address_2": "SUITE 508",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202131",
            "telephone_number": "901-767-5864",
            "fax_number": "901-767-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD",
            "address_2": "SUITE 508",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202131",
            "telephone_number": "901-767-5864",
            "fax_number": "901-767-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPOR",
        "first_name": "KENNETH",
        "middle_name": "AZUKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "37282",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "37282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.