Active NPI
Chikezie Okeagu
- Orthopaedic Surgery Physician
- St. Louis, MO
National Provider Identifier
1922528249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2017021135
- Practice address
- 621 South New Ballas
St. Louis, MO 63141 - Phone
- (314) 251-7069
- NPI assigned
- Jun 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2017021135 | MO | Primary |
Addresses
Primary practice location
621 South New Ballas
St. Louis, MO 63141
Mailing address
621 S New Ballas Rd
Saint Louis, MO 63141-8232
Phone (314) 251-7069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171026000310 | MO | Order and Referring Only - Orthopedic Surgery | 6406122068 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922528249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418232",
"telephone_number": "314-251-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 SOUTH NEW BALLAS",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-251-7069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKEAGU",
"first_name": "CHIKEZIE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2017021135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.