Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Heitor Okanobo, MD

Individual provider Diagnostic Radiology Physician · NPI 1992938716

Dr. Heitor Okanobo, MD is a Diagnostic Radiology in Indianapolis, Indiana. Qualified in 2004, 22 years ago. Practices with Intercoastal Medical Group Inc, a 177-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Indiana.

Years since qualifying
22
Licensed in
FL, IN
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307
Phone: (317) 579-2150
Fax: (317) 579-2130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2330 Utah Ave, El Segundo, CA 90245-4817 — (424) 290-8004

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME119655 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 01097980A (IN)

Record details

NPI number1992938716
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 27, 2009
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Intercoastal Medical Group Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations16 on file with Medicare

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