Active NPI
Osarumen Okunbor, M.D.
- Vascular Surgery Physician
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 339240
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Meharry Medical College School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Ochsner Blvd
Covington, LA 70433-8107
Phone (985) 875-2828
Hospital & facility affiliations
- Ochsner Medical Center Acute
- St Tammany Parish Hospital
- Slidell Memorial Hospital
- Ochsner Medical Center-Hancock
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Leg revascularization (restoring blood flow) | 18 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Specialists of Charlotte, P.a. | Surgery | Current | Accepting new patients |
| Metrolina Nephrology Associates, PA | Current | 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
- ookunbor398247@direct.ochsner.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- osarumen.okunbor.p185@direct.aac.nextgenshare.com
- 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.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Nephrology Physician
- Charlotte, NC
- NPI 1083664189
-
- Surgery Physician
- Charlotte, NC
- NPI 1073599734
-
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
-
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
-
- General Acute Care Hospital
- Bay Saint Louis, MS
- NPI 1588629968
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.