OKOLOCHA MEDICAL CORPORATION
NPI 1588016752
Nurse Practitioner - Family in Gary, IN

Active since July 12, 2016CLIA 15D2173407 · Waiver
2054 GRANT ST, GARY, IN 46404(219) 949-7540(219) 949-7545 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Okolocha Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OKOLOCHA MEDICAL CORPORATION (NPI 1588016752) is a healthcare organization registered as a family in Gary, Indiana and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through October 10, 2027 and lists Paul Okolocha, Owner, as its authorized official.

NPPES Registry Identity

NPI1588016752
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOKOLOCHA MEDICAL CORPORATION
Location Address2054 GRANT STGary, IN 46404-3060
Mailing Address2054 Grant StGary, IN 46404-3060 · (219) 949-7540 · Fax (219) 949-7545
Fax(219) 949-7545
Organization SubpartNo
Authorized OfficialPaul OkolochaOwner · (219) 949-7540
Enumeration DateJuly 12, 2016
NPI 1588016752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71004976
2054 GRANT ST, Gary, IN 46404

Other Identifiers 1

Medicaid201272350IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2173407

Okolocha Medical Corp · Gary, IN
Active · expires Oct 10, 2027
CLIA Number15D2173407
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorPaul C. Okolocha
Laboratory Phone(219) 949-7540
Laboratory LocationOkolocha Medical Corp2054 Grant St, Gary, IN 46404
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2054 GRANT ST
GARY, IN 46404
Family Medicine
2054 GRANT ST
GARY, IN 46404
Family Medicine
2054 GRANT ST
GARY, IN 46404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Okolocha Medical Corporation's NPI number?

The NPI number for Okolocha Medical Corporation is 1588016752. It was assigned to this organization in the NPPES registry on July 12, 2016.

Where is Okolocha Medical Corporation located?

Okolocha Medical Corporation is located at 2054 Grant St, Gary, IN 46404. The listed phone number is (219) 949-7540.

What is Okolocha Medical Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Okolocha Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2173407) is associated with this NPI, valid through October 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Okolocha Medical Corporation was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.