Organization Active NPI

Eko Internal Medicine

  • Internal Medicine Physician
  • Winchester, TN
National Provider Identifier
1912422981
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EKO INTERNAL MEDICINE
Practice address
2204 Cowan Hwy Ste B
Winchester, TN 37398-2627
Phone
(931) 636-6120
NPI assigned
Aug 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Authorized official

Name
Dr. Imhona Arnold Eko-Isenalumhe, MDNPI 1033192893
Title
President
Phone
(931) 636-6120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2204 Cowan Hwy Ste B
Winchester, TN 37398-2627

Mailing address

PO Box 818
Sewanee, TN 37375-0818
Phone (931) 636-6120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230317000089 TN Part B Supplier - Clinic/Group Practice 7315311180 Receives reassigned benefits from 1 practitioner
Practice locations: Winchester, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2068172Eko Internal Medicine2204 Cowan Highway, Winchester, TN 37398Certificate of waiverOct 28, 2027

National Provider Directory

National Provider Directory

Locations

2204 Cowan Hwy
Ste A
Winchester, TN 37398
Phone (931) 967-0360

2204 Cowan Hwy
Ste B
Winchester, TN 37398
Phone (931) 636-6120

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCJEAA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1912422981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 818",
            "city": "SEWANEE",
            "state": "TN",
            "postal_code": "373750818",
            "telephone_number": "931-636-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 COWAN HWY STE B",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982627",
            "telephone_number": "931-636-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKO INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "EKO-ISENALUMHE",
        "authorized_official_first_name": "IMHONA",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-636-6120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.