Individual provider Active NPI

Charles I. Okwundu, MD

  • Pediatrics Physician
  • Middlesboro, KY
National Provider Identifier
1861914202
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
TP161 Issued in KY
Practice address
2004 Cumberland Ave Ste 100
Middlesboro, KY 40965-1385
Phone
(606) 248-3015
Fax
(606) 248-3024
NPI assigned
Jul 7, 2017
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X TP161 KY Primary

Addresses

Primary practice location

2004 Cumberland Ave Ste 100
Middlesboro, KY 40965-1385

Mailing address

2004 Cumberland Ave Ste 100
Middlesboro, KY 40965-1385
Phone (606) 248-3015

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charlesokwundu@arh.medalliesdirect.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200914002399 KY Practitioner - Pediatric Medicine 0840538815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2004 Cumberland Ave
Suite 100
Middlesboro, KY 40965-1385
Phone (606) 248-3015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP161KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Mary Breckinridge Health Services, Inc. Current Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 1, 2020 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Pediatrics CurrentSince Nov 1, 2023 Accepting new patients
Apex Womens Services PLLC PastSince Apr 9, 2024 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Past Accepting new patients
Flat Lick Medical Clinic PLLC Past Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients

Locations

80 Hospital Dr
#2
Barbourville, KY 40906
Phone (606) 545-4460

100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 216-5145

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

431 Redding Rd
Ste 140
Lexington, KY 40517
Phone (859) 226-2500

2004 Cumberland Ave
Ste 100
Middlesboro, KY 40965
Phone (606) 248-3015

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

306 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

306 Hospital Dr
#110A
South Williamson, KY 41503
Phone (606) 237-1740

306 Hospital Dr
Ste 201
South Williamson, KY 41503

Interoperability endpoints

  • Direct secure messaging: charlesokwundu@arh.medalliesdirect.net

Organizations & group practices 12

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1861914202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 CUMBERLAND AVE STE 100",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651385",
            "telephone_number": "606-248-3015",
            "fax_number": "606-248-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 CUMBERLAND AVE STE 100",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651385",
            "telephone_number": "606-248-3015",
            "fax_number": "606-248-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKWUNDU",
        "first_name": "CHARLES",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "TP161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charlesokwundu@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "2004 Cumberland Ave Ste 100",
            "city": "Middlesboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "409651385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.