ICO PRIMARY CARE, LLC
NPI 1568144996
Clinic/Center - Primary Care in Choctaw, OK

NPI Status: Active since August 04, 2023

Contact Information

1664 S CHOCTAW RD STE 101
CHOCTAW, OK
ZIP 73020
Phone: (405) 281-2144

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NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: July 12, 2026.

  • Organization
  • Clinic/Center
  • Primary Care
  • Accepts Insurance

About ICO PRIMARY CARE, LLC

This page provides the complete NPI Profile along with additional information for Ico Primary Care, Llc, a primary care provider established in Choctaw, Oklahoma operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1568144996 assigned on August 2023. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Kevin Penwell Do (Cmo)

NPI
1568144996
Provider Name
ICO PRIMARY CARE, LLC
Entity Type
Organization
Location Address
1664 S CHOCTAW RD STE 101 CHOCTAW, OK 73020
Location Phone
(405) 281-2144
Mailing Address
5701 SE 74TH ST STE E OKLAHOMA CITY, OK 73135
Mailing Phone
(405) 600-6869
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-04-2023
Last Update Date
07-24-2025
Code Navigator

A primary care provider (PCP) like Ico Primary Care, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 5700 SE 74th St Ste 100B
    Oklahoma City, OK 73135
    (405) 455-5204
  • 11808 S May Ave
    Oklahoma City, OK 73170
    (405) 735-2370
  • 502 N Broadway St
    Tecumseh, OK 74873
    (405) 598-7270

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? Standard - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN PENWELL DO

Authorized Official Title
CMO
Authorized Official Phone
(405) 600-6869

Reviews for ICO PRIMARY CARE, LLC

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568144996, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 2 + 4 + 8 + 9 + 1 + 8 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1568144996.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Urgent Care)
1664 S CHOCTAW RD STE 101
CHOCTAW, OK 73020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568144996, enumerated as an "organization" on August 04, 2023.

The provider is located at 1664 S CHOCTAW RD STE 101 CHOCTAW, OK 73020 and the phone number is (405) 281-2144.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma. Please consult your insurance carrier or call the provider to verify.