Individual provider Active NPI

Josephine Nkechi Okwechime, MD

  • Dermatology Physician
  • Kokomo, IN
National Provider Identifier
1952592156
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01052094A Issued in IN
Practice address
1542 S Dixon Rd
Kokomo, IN 46902-7318
Phone
(765) 450-7314
Fax
(765) 450-7316
NPI assigned
Aug 5, 2007
Last updated
Apr 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01052094A IN Primary

Addresses

Primary practice location

1542 S Dixon Rd
Kokomo, IN 46902-7318

Mailing address

1542 S Dixon Rd
Kokomo, IN 46902-7318
Phone (765) 450-7314

Other identifiers 3

IdentifierTypeStateIssuer
P00426936OtherINRAIL ROAD
000000531651OtherINANTHEM BLUE CROSS
200492280MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040730000837 IN Practitioner - DermatologyPractitioner - Internal Medicine 3577533074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1542 S Dixon Rd
Kokomo, IN 46902-7318
Phone (765) 450-7314

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.54 of 100Reported as individual
Quality
83.89
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19
Removal of tissue1-10
Removal of skin lesions1475
Removal or shaving of skin growth87
Skin biopsy211

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Dermatology LLC Dermatology CurrentSince Apr 1, 2012 Accepting new patients

Locations

1542 S Dixon Rd
Kokomo, IN 46902
Phone (317) 418-3227

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1952592156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 S DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469027318",
            "telephone_number": "765-450-7314",
            "fax_number": "765-450-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 S DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469027318",
            "telephone_number": "765-450-7314",
            "fax_number": "765-450-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKWECHIME",
        "first_name": "JOSEPHINE",
        "middle_name": "NKECHI",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01052094A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P00426936",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000531651",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200492280",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.