Petua A Okolo, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M0846 Issued in TX

Practice address

2207 Michigan Ave
Arlington, TX 76013-5916

Phone

(817) 465-7400

Fax

(817) 465-7402

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

University of North Texas HSC, College of Osteopathic Med, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• DFW Internal Medicine Clinic, PLLC

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1881847861
  Medicare reassignment NPD Authorized official
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1114395969
  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD
• A Ray Lewis, DO, PLLC

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1053643130
  NPD (past)
• West Wharton County Hospital District

  • Skilled Nursing Facility
  • Fort Worth, TX
  • NPI 1558966317
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1821023110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 MICHIGAN AVE",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760135916",
            "telephone_number": "817-465-7400",
            "fax_number": "817-465-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 MICHIGAN AVE",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760135916",
            "telephone_number": "817-465-7400",
            "fax_number": "817-465-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOLO",
        "first_name": "PETUA",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174464101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174464102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angie Okafor
• Chinedu Okafor, MSN, APRN, FNP-C
• Brielle Okenfuss, DPT, PT
• Daniel Uche Okolo
• Emmanuel C Okolo, NP
• Tiara A Okoruwa, PHD, LMSW
• Clementina O Okoye, RN
• Shield Olubunmi Olabamiji
• Charmaine Kay Oladell, M.D.
• Mojisola Helen Olaide

• Internal Medicine Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.

Verify at the official NPI Registry.