Individual provider Active NPI

Ugochukwu T Okonkwo, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1831818970
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18793 Issued in TX
Practice address
510 Med CT Ste 210
San Antonio, TX 78258-3484
Phone
(210) 494-4290
Fax
(210) 494-4809
NPI assigned
Aug 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18793 TX Primary

Addresses

Primary practice location

510 Med CT Ste 210
San Antonio, TX 78258-3484

Mailing address

27595 Interstate 10 W Apt 332
Boerne, TX 78006-6638
Phone (480) 434-9393

Other names 1

  • Ugo Okonkwo Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321001841 TX Practitioner - Physician Assistant 6204358914 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yolanda Marcos MD PA CurrentSince Jan 31, 2026 Accepting new patients

Locations

510 Med Ct
Ste 210
San Antonio, TX 78258
Phone (210) 494-4290

Interoperability endpoints

  • Direct secure messaging: ugochukwu.okonkwo.1@20876.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1831818970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27595 INTERSTATE 10 W APT 332",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780066638",
            "telephone_number": "480-434-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MED CT STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583484",
            "telephone_number": "210-494-4290",
            "fax_number": "210-494-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "UGOCHUKWU",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UGO",
            "last_name": "OKONKWO",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.