DR. OBINNA OKECHUKWU-DAVID ONYEUKWU (MD) – Emergency Medicine Physician, NPI 1255081006

DR. OBINNA OKECHUKWU-DAVID ONYEUKWU (MD) is a healthcare provider. based in Maywood, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 2025010834 (MO). The NPI Number for DR. OBINNA OKECHUKWU-DAVID ONYEUKWU (MD) is 1255081006

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. OBINNA OKECHUKWU-DAVID ONYEUKWU (MD)
NPI
1255081006
Phone
Not provided
Address
2160 S 1ST AVE
Enumeration Date
25 March 2022
Last Update Date
15 July 2025

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3143629123
Graduation Year
2022 (4 years ago)
PAC ID
8426437369
Group Practice PAC ID
8628588514
Professional Enrollment ID
I20250702003229
Address ID
MO630318012FL1225XRDXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness95
Years active:4State licenses:1Other names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for DR. OBINNA OKECHUKWU-DAVID ONYEUKWU (MD)

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone:

    Type: Mailing

  • 2160 S 1ST AVE BLDG 105

    MAYWOOD, IL 601533328

    Phone: (708) 216-2561

    Type: Location

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-9123

    Fax: (314) 362-0478

    Type: Mailing

  • 1 BARNES JEWISH HOSPITAL PLZ

    DEPT EMERGENCY MED

    SAINT LOUIS, MO 631101003

    Phone: (314) 362-9123

    Fax: (314) 362-0478

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250702003229IEmergency MedicineMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60153)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628588514View full group profile
NameSpecialtyState
Nurse PractitionerIL
Emergency MedicineOH
Nurse PractitionerIL
Emergency Medicine, General PracticeIL
Emergency MedicineIA
Emergency Medicine, General PracticeMO
Emergency MedicineIL
Emergency MedicinePA
Emergency MedicineMO
Emergency MedicineIL

Reviews

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Frequently asked questions

Can I cross-check DR. OBINNA OKECHUKWU-DAVID ONYEUKWU (MD) using NPI 1255081006?
NPI 1255081006 belongs to DR. OBINNA OKECHUKWU-DAVID ONYEUKWU (MD); compare other details if you need extra assurance.
Is DR. OBINNA OKECHUKWU-DAVID ONYEUKWU (MD) still an active registrant?
DR. OBINNA OKECHUKWU-DAVID ONYEUKWU (MD) carries an active NPI according to the public dataset.
What kind of doctor is DR. OBINNA OKECHUKWU-DAVID ONYEUKWU (MD)?
DR. OBINNA OKECHUKWU-DAVID ONYEUKWU (MD) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. OBINNA OKECHUKWU-DAVID ONYEUKWU (MD) associated with Maywood?
Public fields place DR. OBINNA OKECHUKWU-DAVID ONYEUKWU (MD) around Maywood, Illinois. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. OBINNA OKECHUKWU-DAVID ONYEUKWU (MD) is noted as March 25, 2022 where the registry provides it.

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