EMMANUEL OKENYE – Internal Medicine Physician, NPI 1346777950

EMMANUEL OKENYE is a healthcare provider. based in Roseburg, Oregon. specializing in INTERNAL MEDICINE. They hold a License No. R4495 (KY). The NPI Number for EMMANUEL OKENYE is 1346777950

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
EMMANUEL OKENYE
NPI
1346777950
Phone
(541) 677-7200
Address
2570 NW EDENBOWER BLVD STE 100
Enumeration Date
12 May 2017
Last Update Date
12 June 2020

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
5416777200
Graduation Year
2017 (9 years ago)
PAC ID
9739420332
Group Practice PAC ID
3870485139
Professional Enrollment ID
I20200622001170
Address ID
OR974716214RO2570XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,474 INTERNAL MEDICINE in OR

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Provider Addresses for EMMANUEL OKENYE

  • Northwest Edenbower Boulevard, Roseburg, Douglas County, Oregon, 97470, United States

    ROSEBURG, OR 974716214

    Phone: (541) 677-7200

    Fax: (541) 229-3309

    Type: Mailing

  • 1937, West Harvard Avenue, Roseburg, Douglas County, Oregon, 97471, United States

    ROSEBURG, OR 974712720

    Phone: (541) 677-7200

    Fax: (541) 229-3309

    Type: Location

  • 250 Park St

    Graduate Medical Education, The Medical Center

    Bowling Green, KY 42101

    Phone: (270) 780-2680

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Novo Nordisk Inc ($102).

Total Amount

$102

General + Research + Ownership

Payments

1

Total payment records

General Amount

$102

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

CompanyAmount
Novo Nordisk Inc$102
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: 2020-06-22

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
I20200622001170IInternal MedicineORTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes16778$0
99239Hospital discharge day management, more than 30 minutes7471$0
99291Critical care, first 30-74 minutes4419$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2422$0
81003Automated urinalysis test1414$0
View full utilization report →

Insurance plans in this area (ZIP 97471)

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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: 3870485139View full group profile
NameSpecialtyState
Family PracticeOR
Family PracticeOR
Internal Medicine, Pediatric Medicine, EndocrinologyOR
Mental Health CounselorOR
Family PracticeOR
Family PracticeOR
Family PracticeOR
Family PracticeOR
Mental Health CounselorOR
Mental Health CounselorOR

Reviews

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Frequently asked questions

What number should I use to identify EMMANUEL OKENYE for billing?
Administrative and clinical systems typically use NPI 1346777950 for EMMANUEL OKENYE.
Should I treat EMMANUEL OKENYE as an active provider?
Patients and plans typically see EMMANUEL OKENYE as active in the national extract.
Which specialty label fits EMMANUEL OKENYE?
NPPES ties EMMANUEL OKENYE to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to EMMANUEL OKENYE?
The directory associates EMMANUEL OKENYE with Roseburg, Oregon. Check all listed addresses for suites or satellite offices.
Can I export EMMANUEL OKENYE's record?
You can download the official NPPES record; we summarize key fields for readability.

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