Individual provider Active NPI

Osarumen Okunbor, M.D.

  • Vascular Surgery Physician
  • Covington, LA
National Provider Identifier
1891108700
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
339240 Issued in LA
Practice address
1000 Ochsner Blvd
Covington, LA 70433-8107
Phone
(985) 875-2828
Fax
(985) 785-2725
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2022-01360 NC
Surgery Physician 208600000X 339240 LA
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Surgery Physician 2086S0129X 339240 LA Primary

Addresses

Primary practice location

1000 Ochsner Blvd
Covington, LA 70433-8107

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

1161 21st Ave S
CCC-4312 MCN
Nashville, TN 37232-2730
Phone (615) 343-6642

Other practice location 2

2001 Vail Ave Ste 320
Charlotte, NC 28207-1222
Phone (704) 333-0741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220816002630 NC Practitioner - General SurgeryPractitioner - Vascular Surgery 7214218478 Reassigns benefits to 2 organizations
I20240312003341 LA Practitioner - Vascular SurgeryPractitioner - General Surgery 7214218478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Meharry Medical College School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1000 Ochsner Blvd
Covington, LA 70433-8107
Phone (985) 875-2828

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Leg revascularization (restoring blood flow)18
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialists of Charlotte, P.a. Surgery CurrentSince Sep 1, 2022 Accepting new patients
Metrolina Nephrology Associates, PA CurrentSince Sep 1, 2022 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Past Accepting new patients

Locations

7300 Carmel Executive Park Dr
Ste 200
Charlotte, NC 28226
Phone (704) 364-8100

3158 Freedom Dr
Ste 1101
Charlotte, NC 28208
Phone (704) 971-8088

2001 Vail Ave
Ste 320
Charlotte, NC 28207
Phone (704) 333-0741

2544 Court Dr
Ste F
Gastonia, NC 28054
Phone (704) 864-8302

Interoperability endpoints

  • Direct secure messaging: ookunbor398247@direct.ochsner.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: osarumen.okunbor.p185@direct.aac.nextgenshare.com
  • Direct secure messaging: osarumen.okunbor.p111@direct.aac.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1891108700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OCHSNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338107",
            "telephone_number": "985-875-2828",
            "fax_number": "985-785-2725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1161 21st Ave S",
            "address_2": "CCC-4312 MCN",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372322730",
            "country_code": "US",
            "telephone_number": "615-343-6642",
            "fax_number": "615-322-0689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Vail Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071222",
            "country_code": "US",
            "telephone_number": "704-333-0741",
            "fax_number": "704-333-3356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKUNBOR",
        "first_name": "OSARUMEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2022-01360",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "339240",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "LA",
            "license": "339240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.