PETERS EHIOSUOREA OKONOBOH MD NPI 1215166020

NPI Information

  • NPI: 1215166020
  • Provider Name: PETERS EHIOSUOREA OKONOBOH, MD
  • Classification: Internal Medicine - 207RC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 759 CHESTNUT ST
    SPRINGFIELD, MA
    ZIP 01199
  • Phone: (413) 794-4320

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NPI Details

Peters Ehiosuorea Okonoboh, MD is a critical care medicine internal medicine in Springfield, MA with 23 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Peters Ehiosuorea Okonoboh, MD NPI is 1215166020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

759 CHESTNUT ST
SPRINGFIELD, MA
ZIP 01199-001
Phone: (413) 794-4320

The NPI 1215166020 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Insertion of artery tube for blood sampling or infusion through skin (HCPCS:36620)
  • Emergent insertion of breathing tube into windpipe using an endoscope (HCPCS:31500)

The enumeration date for this NPI number is 7/14/2009 and was last updated on 9/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine261781MASSACHUSETTSNo
2207RC0200XInternal MedicineCritical Care Medicine261781MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11215166020MEDICAIDVIRGINIA
25920972MEDICAIDNORTH CAROLINA
3NC7818AMEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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