Individual provider Active NPI

Andrew Chidi Okpaleke, M.D., MPH

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1861453193
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000014656 Issued in TN
Practice address
500 Mapleleaf Drive
Suite 200
Nashville, TN 37210
Phone
(615) 232-7162
Fax
(615) 232-7308
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD14656 TN
Pain Medicine Physician 208VP0000X MD14656 TN
Internal Medicine Physician 207R00000X MD0000014656 TN Primary
Pain Medicine Physician 208VP0000X MD0000014656 TN

Addresses

Primary practice location

500 Mapleleaf Drive
Suite 200
Nashville, TN 37210

Mailing address

P.O. Box 148576
Nashville, TN 37214
Phone (615) 232-7162

Other identifiers 3

IdentifierTypeStateIssuer
472OtherTNPAIN CLINIC CERTIFICATION NUMBER
1031I17295OtherTNMEDICARE PROVIDER NUMBER (PTAN)
1528387MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD14656TNMDInternal Medicine Physician
MD0000014656TNMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kabs Goodwill, LLC Past Accepting new patients
Unity Medical Center PL Past Accepting new patients
Bradlake Medical Center, Inc Internal Medicine PastSince May 1, 2012 Accepting new patients
MCR Health, Inc. Past Accepting new patients

Organizations & group practices 4

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1861453193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 148576",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37214",
            "telephone_number": "615-232-7162",
            "fax_number": "615-232-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAPLELEAF DRIVE",
            "address_2": "SUITE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37210",
            "telephone_number": "615-232-7162",
            "fax_number": "615-232-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPALEKE",
        "first_name": "ANDREW",
        "middle_name": "CHIDI",
        "name_prefix": "Mr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD14656",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TN",
            "license": "MD14656",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000014656",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TN",
            "license": "MD0000014656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAIN CLINIC CERTIFICATION NUMBER",
            "identifier": "472",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER (PTAN)",
            "identifier": "1031I17295",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528387",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.