| NPI | 1104871433 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-05-24 |
| Last Updated | 2026-02-09 |
| Mailing Address | Po Box 400 Jackson, TN 38302-0400 United States Phone: (731) 423-8697 | Fax: (731) 422-5743 📍 View Map |
| Primary Practice Address | 6005 Park Ave Ste 500b Memphis, TN 38119-5215 United States Phone: (901) 683-6925 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TN | 1524823 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RC0000X – Internal Medicine, Cardiovascular Disease | TN | 47713 |
| No | 207RI0011X – Internal Medicine, Interventional Cardiology | TN | 47713 |
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About NPI 1104871433
Joseph M Okolo M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104871433. The primary specialty listed is Internal Medicine, Cardiovascular Disease. The provider is located in Memphis, TN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104871433?
NPI 1104871433 belongs to Joseph M Okolo M.D., a Internal Medicine, Cardiovascular Disease in Memphis, TN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104871433 active?
The current status of NPI 1104871433 in the NPPES registry is Active. The record was last updated on 2026-02-09.
What specialty is NPI 1104871433?
NPI 1104871433 is classified under the taxonomy Internal Medicine, Cardiovascular Disease. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104871433?
You can verify NPI 1104871433 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104871433?
The primary practice address on file for NPI 1104871433 is 6005 Park Ave Ste 500b, Memphis, TN 38119-5215. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104871433 issued?
NPI 1104871433 was first issued (enumerated) on 2006-05-24. The NPPES record was last updated on 2026-02-09.
Practice Location Map
Joseph M Okolo is located at 6005 Park Ave Ste 500b, Memphis, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Joseph M Okolo. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104871433. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 47713 | TN |
| Internal Medicine, Interventional Cardiology | 47713 | TN |