Individual provider Active NPI

Uchenna A Okoronkwo II, MD

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1922025972
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G55275 Issued in CA
Practice address
10500 Macarthur Blvd
Oakland, CA 94605-5248
Phone
(510) 569-7326
Fax
(510) 569-7329
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G55275 CA Primary

Addresses

Primary practice location

10500 Macarthur Blvd
Oakland, CA 94605-5248

Mailing address

10500 Macarthur Blvd
Oakland, CA 94605-5248
Phone (510) 569-7326

Other identifiers 1

IdentifierTypeStateIssuer
3267825MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050223000482 CA Practitioner - Internal Medicine 3476506056 Reassigns benefits to 2 organizations
Practice locations: Oakland, CA; San Leandro, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Irvine, California College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

10500 Macarthur Blvd
Oakland, CA 94605-5248
Phone (510) 569-7326

12 Camino Encinas
Orinda, CA 94563-3304
Phone (510) 204-8180

20101 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 886-3400

20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 727-3256

2500 Milvia St
Berkeley, CA 94704-2636
Phone (510) 204-5600

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G55275CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Single Specialty CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Okoronkwo Medical Corp of Alameda Internal Medicine Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Uchenna a. Okoronkwo II, MD. Inc. PastSince Jan 1, 1990 Accepting new patients
Macarthur Gastroenterology Inc. Past Accepting new patients

Locations

4053 Lone Tree Way
Ste 101
Antioch, CA 94531
Phone (925) 756-3400

4053 Lone Tree Way
Antioch, CA 94531
Phone (925) 756-3400

2500 Milvia St
Berkeley, CA 94704
Phone (510) 204-5514

20101 Lake Chabot Rd
Fl 1
Castro Valley, CA 94546
Phone (510) 247-6300

20101 Lake Chabot Rd
#1
Castro Valley, CA 94546
Phone (510) 886-3400

20101 Lake Chabot Rd
Castro Valley, CA 94546
Phone (510) 247-6300

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

795 El Camino Real
#1112
Palo Alto, CA 94301

Interoperability endpoints

  • Direct secure messaging: uokoronkwo141981@hisp.ehr.sutterhealth.org

Organizations & group practices 9

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 5

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1922025972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055248",
            "telephone_number": "510-569-7326",
            "fax_number": "510-569-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055248",
            "telephone_number": "510-569-7326",
            "fax_number": "510-569-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORONKWO",
        "first_name": "UCHENNA",
        "middle_name": "A",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G55275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3267825",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.