Individual provider Active NPI

Otuomasirichi Eudorah Onyema, DNP, MPH, FNP-BC

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1861048225
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019031652 Issued in MO
Practice address
3863A Gravois Ave
Saint Louis, MO 63116-4657
Phone
(314) 888-0981
Fax
(314) 442-7794
NPI assigned
Aug 12, 2019
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019031652 MO Primary

Addresses

Primary practice location

3863A Gravois Ave
Saint Louis, MO 63116-4657

Mailing address

PO Box 740019
Atlanta, GA 30374-0019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20191112000991 MO Practitioner - Nurse Practitioner 6709842073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Columbia School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Missouri LLCGroup PAC ID 7315340213, 25 clinicians

Practice addresses (Care Compare)

3843 Gravois Ave
Oak Street Health Tower Grove
Saint Louis, MO 63116-4657
Phone (314) 888-0981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019031652MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carestl Health CurrentSince Jan 27, 2025 Accepting new patients
Carestl Health Current Accepting new patients
Oak Street Health Physicians Group of Missouri, LLC Family CurrentSince Dec 8, 2025 Accepting new patients
Carestl Health CurrentSince Jan 27, 2025 Accepting new patients
Ozik Home Care Inc PastSince Apr 30, 2012 Accepting new patients

Locations

9303 Midland Blvd
Overland, MO 63114
Phone 31436758206119

3843 Gravois Ave
Saint Louis, MO 63116
Phone (314) 888-0981

5471 Martin Luther King Dr
Saint Louis, MO 63112
Phone 3143675820 ext. 2221

5541 Riverview Blvd
Saint Louis, MO 63120
Phone (314) 389-4566

7047 Emma Ave
Saint Louis, MO 63136
Phone (314) 653-8070

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1861048225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740019",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863A GRAVOIS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631164657",
            "telephone_number": "314-888-0981",
            "fax_number": "314-442-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEMA",
        "first_name": "OTUOMASIRICHI",
        "middle_name": "EUDORAH",
        "name_prefix": "Dr.",
        "credential": "DNP, MPH, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019031652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.