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DR. JUSTIN-DAVID ELOCHUKWU OKORO MD
NPI 1871285403
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 23, 2023PECOS Enrolled
4160 JOHN R ST STE 615, DETROIT, MI 48201(313) 745-4195(313) 993-8669 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2024, May 23, 2023 (2 updates tracked since 2023).

About Dr. Justin-david Elochukwu Okoro Md NPPES

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

DR. JUSTIN-DAVID ELOCHUKWU OKORO MD (NPI 1871285403) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871285403
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JUSTIN-DAVID ELOCHUKWU OKOROCredential: MD
Location Address4160 JOHN R ST STE 615Detroit, MI 48201-2022
Mailing Address4160 John R St Ste 615Detroit, MI 48201-2022 · (313) 745-4195 · Fax (313) 993-8669
Phone(313) 745-4195
Fax(313) 993-8669
Sole ProprietorNo
Enumeration DateMay 23, 2023
Last NPPES UpdateJune 21, 20242 updates tracked since enumeration
NPPES CertifiedMay 11, 2024
✔ NPI 1871285403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4160 JOHN R ST STE 615, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin-david Elochukwu Okoro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

WILLIAM DEAN JACOBUS DO
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
ALFREDO MUNOZ-LAROCHE MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
VEDA VYAS GOKULA MD, MBA
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
ZAYD AYAS
Surgery
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
ROOZBEH MANSOUR MD
Surgery
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-8773
MR. MOHAMEDALMORTDA KHAIRALSEED MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
JESSICA A JOHNS MD
Emergency Medicine
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
DR. MARILEE JA CLUNK M.D.
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195

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 Justin-david Okoro's NPI number?

The NPI number for Justin-david Okoro is 1871285403. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Justin-david Okoro located?

Justin-david Okoro practices at 4160 John R St Ste 615, Detroit, MI 48201. The listed phone number is (313) 745-4195.

What is Justin-david Okoro's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin-david Okoro enrolled in Medicare?

Yes. Justin-david Okoro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin-david Okoro was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.