Chike Floyd Okolocha Jr., DO
Individual provider Active NPI Family Medicine Physician · Valparaiso, IN
NPI 1851915342 · NPPES record last updated Aug 8, 2023
Key facts
- NPI
- 1851915342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02007168A (IN)
- Practice address
- 2505 Calumet Ave
Valparaiso, IN 46383-2715 - Phone
- (219) 548-3843
- NPI assigned
- Jun 1, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 10
Medicare Care Compare profile
- 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) LLC
Porter Physician Services LLC
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
- Caretenders
- At Home Quality Care
- Northwest Health - Porter
- St Mary Medical Center Inc
- Franciscan Health Michigan City
- Northwestern Medicine Central Dupage Hospital
- Franciscan Health Crown Point
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.68 of 100
- Quality
- 76.2
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230912000928 | IN | Practitioner - Family Practice | 0244694180 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02007168A | IN | MD | Family Medicine Physician |
| T8905 | TX | MD | Family Medicine Physician |
| BP10071689 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter Physician Services LLC | Family Medicine | Current |
Accepting new patients |
| Porter Physician Services LLC | Family Medicine | Past |
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
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
336 W US Highway 30
Ste A
Valparaiso, IN 46385
Phone (219) 464-7430
1101 Glendale Blvd
Ste 102A
Valparaiso, IN 46383
Phone (219) 263-7550
Interoperability endpoints
- chike.okolocha.1@2340.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | T8905 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10071689 | TX | |
| Family Medicine Physician | 207Q00000X | 02007168A | IN | Yes |
Addresses
Primary practice location
2505 Calumet Ave
Valparaiso, IN 46383-2715
Mailing address
2505 Calumet Ave
Valparaiso, IN 46383-2715
Other providers in Valparaiso, IN
- Priscah Ouma Odongo
- Oetter Family Medical Corp
- Off Hour Medical Services, Inc
- Olusola Ogundipe
- Morgan Oiler-Negron
- Osinachi Kingsley Okoye
- Rebekah Nicole Olenik
- Diane K Olson-Burkhardt
- Sarah Olson
- Omniphysicians
All providers in Valparaiso, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.