NPIMap

Individual provider Active NPI

Chike Floyd Okolocha Jr., DO

  • Family Medicine Physician
  • Valparaiso, IN
National Provider Identifier
1851915342
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02007168A Issued in IN
Practice address
2505 Calumet Ave
Valparaiso, IN 46383-2715
Phone
(219) 548-3843
NPI assigned
Jun 1, 2020
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T8905 TX
Student in an Organized Health Care Education/Training Program 390200000X BP10071689 TX
Family Medicine Physician 207Q00000X 02007168A IN Primary

Addresses

Primary practice location

2505 Calumet Ave
Valparaiso, IN 46383-2715

Mailing address

2505 Calumet Ave
Valparaiso, IN 46383-2715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912000928 IN Practitioner - Family Practice 0244694180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rci (WRS) LLCGroup PAC ID 5092624510, shared by 17 NPIs, 325 clinicians
Porter Physician Services LLCGroup PAC ID 1850482407, 96 clinicians

Practice addresses (Care Compare)

1300 Lincolnway
Valparaiso, IN 46383-5824

2505 Calumet Ave
Valparaiso, IN 46383-2715
Phone (219) 548-3843

650 Dickinson Rd
Chesterton, IN 46304-3387

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02007168AINMDFamily Medicine Physician
T8905TXMDFamily Medicine Physician
BP10071689TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Physician Services LLC Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Porter Physician Services LLC Family Medicine PastSince Aug 13, 2023 Accepting new patients

Locations

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

1101 Glendale Blvd
Ste 102A
Valparaiso, IN 46383
Phone (219) 263-7550

336 W US Highway 30
Ste A
Valparaiso, IN 46385
Phone (219) 464-7430

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Interoperability endpoints

  • Direct secure messaging: chike.okolocha.1@2340.direct.athenahealth.com

Organizations & group practices 2

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 10

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": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1851915342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832715",
            "telephone_number": "219-548-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOLOCHA",
        "first_name": "CHIKE",
        "middle_name": "FLOYD",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T8905",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10071689",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02007168A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.