MIRIAN CHIBUZO OKOYE (MD) – Sports Medicine (Family Medicine) Physician, NPI 1477016228

MIRIAN CHIBUZO OKOYE (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. U4888 (TX). The NPI Number for MIRIAN CHIBUZO OKOYE (MD) is 1477016228

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MIRIAN CHIBUZO OKOYE (MD)
NPI
1477016228
Phone
Not provided
Address
1520 N SENATE AVE
Enumeration Date
9 April 2019
Last Update Date
2 October 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4692045600
Graduation Year
2019 (7 years ago)
PAC ID
1254664964
Group Practice PAC ID
9931001567
Professional Enrollment ID
I20231128002134
Address ID
TX750824277RI2821XHWYX606
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

2,862 FAMILY PRACTICE in IN

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Provider Addresses for MIRIAN CHIBUZO OKOYE (MD)

  • 1520, North Senate Avenue, Fayette Street Conservation Area, Indianapolis, Marion, Indiana, 46202, United States

    INDIANAPOLIS, IN 462022213

    Phone:

    Type: Mailing

  • 4560 Lake Ridge Pkwy Ste 300

    Grand Prairie, TX 750521706

    Phone: (214) 278-5000

    Type: Location

  • 1601 E DEBBIE LN

    MANSFIELD, TX 760633674

    Phone: (972) 792-7300

    Type: Mailing

  • 1601 E DEBBIE LN STE 2109

    MANSFIELD, TX 760634130

    Phone: (817) 473-9125

    Fax: (817) 473-9126

    Type: Location

  • 1500 S MAIN ST

    FORT WORTH, TX 761044917

    Phone: (817) 702-8700

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $709.

Total Amount is formed as General ($709) + Research ($0) + Ownership ($0) = $709.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Novo Nordisk Inc ($163).

Total Amount

$709

General + Research + Ownership

Payments

39

Total payment records

General Amount

$709

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-11-28

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
I20231128002134ISports MedicineTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 46202)

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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: 9931001567View full group profile
NameSpecialtyState
General SurgeryTX
Internal Medicine, Pediatric MedicineTX
Physician AssistantNC
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
General SurgeryTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I verify MIRIAN CHIBUZO OKOYE (MD) with an NPI only?
You can start verification with NPI 1477016228 for MIRIAN CHIBUZO OKOYE (MD), then check state licensing separately.
Is MIRIAN CHIBUZO OKOYE (MD) still practicing?
MIRIAN CHIBUZO OKOYE (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes MIRIAN CHIBUZO OKOYE (MD)?
For research purposes, treat MIRIAN CHIBUZO OKOYE (MD) as Sports Medicine (Family Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does MIRIAN CHIBUZO OKOYE (MD) list a practice location?
Patients near Indianapolis, Indiana may find MIRIAN CHIBUZO OKOYE (MD) in results; validate coverage separately.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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