Active NPI
Kingsley C Okonkwo, M.D.
- Pediatrics Physician
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P4362
- Practice address
- 912 E 5TH St
Odessa, TX 79761-4605 - Phone
- (432) 334-8845
- Fax
- (432) 334-8875
- NPI assigned
- Mar 1, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P4362 | TX | Primary |
| Urgent Care Clinic/Center | 261QU0200X | P4362 | TX | |
| Pediatric Cardiology Physician | 2080P0202X | 4301093606 | MI |
Addresses
Primary practice location
912 E 5TH St
Odessa, TX 79761-4605
Mailing address
912 E 5TH St
Odessa, TX 79761-4605
Phone (432) 334-8845
Other practice location 1
2101 N Midland Dr Ste 14A
Midland, TX 79707-5507
Phone (432) 695-6035
Other practice location 2
6326 Yorktown Blvd Ste 1B
Corpus Christi, TX 78414-5861
Phone (361) 334-0613
Other practice location 3
6326 Yorktown Blvd Ste 1A
Corpus Christi, TX 78414-5861
Phone (361) 334-0613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301093606 | MI | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Hospital | Current | Accepting new patients | |
| Nueces Emergency Medicine Associates PA | Current | Accepting new patients | |
| Roswell Clinic Corp | Current | Accepting new patients | |
| St Vincent Hospital | Current | Accepting new patients | |
| Dallas Physician Medical Services for Children Inc | Pediatrics | Current | Accepting new patients |
| Dallas Physician Medical Services for Children Inc | Pediatrics | Current | Accepting new patients |
| Roswell Clinic Corp | Family Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Family Medicine | Current | Accepting new patients |
| Sing Dy Uy,MD Clinic PA | Past | Accepting new patients | |
| Pedicare Childrens Urgent Care PA | Pediatrics | Past | Accepting new patients |
| Roswell Hospital Corporation | Past | Accepting new patients | |
| Pedicare Childrens Clinic PA | Pediatrics | Past | Accepting new patients |
Locations
601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361
3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445
27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000
1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
Interoperability endpoints
- k.okonkwo@pedicare.directbygreenway.com
- kokonkwo165406@christushealth.direct-ci.net
Organizations & group practices 14
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.
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- Emergency Medicine Physician
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- NPI 1538101019
Family Medicine
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- Pediatrics Physician
- Dallas, TX
- NPI 1194153650
-
- Emergency Medicine Physician
- Corpus Christi, TX
- NPI 1215314364
-
- Family Medicine Physician
- Roswell, NM
- NPI 1649267618
-
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
-
- Pediatrics Physician
- Santa Fe, NM
- NPI 1063367803
-
- Pediatrics Physician
- Midland, TX
- NPI 1255862074
-
- Pediatrics Physician
- Dallas, TX
- NPI 1558407908
-
- Durable Medical Equipment & Medical Supplies
- Roswell, NM
- NPI 1396958633
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Santa Fe, NM
- NPI 1508403528
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
-
- Urgent Care Clinic/Center
- Corpus Christi, TX
- NPI 1285165332
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1982732178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 E 5TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614605",
"telephone_number": "432-334-8845",
"fax_number": "432-334-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 E 5TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614605",
"telephone_number": "432-334-8845",
"fax_number": "432-334-8875"
}
],
"practiceLocations": [
{
"address_1": "2101 N Midland Dr Ste 14A",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "TX",
"postal_code": "797075507",
"country_code": "US",
"telephone_number": "432-695-6035",
"fax_number": "361-214-2983",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6326 Yorktown Blvd Ste 1B",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784145861",
"country_code": "US",
"telephone_number": "361-334-0613",
"fax_number": "361-334-0374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6326 Yorktown Blvd Ste 1A",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784145861",
"country_code": "US",
"telephone_number": "361-334-0613",
"fax_number": "361-334-0374",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKONKWO",
"first_name": "KINGSLEY",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P4362",
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "TX",
"license": "P4362",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MI",
"license": "4301093606",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.