Ico Primary Care, LLC
NPI 1568144996 · Primary Care Clinic/Center · Choctaw, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ico Primary Care, LLC is a Primary Care Clinic/Center organization in Choctaw, OK (NPI 1568144996).
Provider details
- NPI number
- 1568144996
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Penwell, Cmo(405) 600-6869
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 11808 S May AveOklahoma City, OK 73170-2560Phone: (405) 735-2370
- 5700 Se 74th St Ste 100bOklahoma City, OK 73135-1087Phone: (405) 455-5204
- 502 N Broadway StTecumseh, OK 74873-2018Phone: (405) 598-7270
Registry dates
- Enumerated
- 2023-08-04
- Last updated
- 2025-07-24
- Certified
- 2025-07-24
Frequently asked questions
- What is Ico Primary Care, LLC's NPI number?
- Ico Primary Care, LLC's National Provider Identifier (NPI) is 1568144996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ico Primary Care, LLC?
- Ico Primary Care, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ico Primary Care, LLC located?
- Ico Primary Care, LLC's practice location on file with NPPES is 1664 S Choctaw Rd Ste 101, Choctaw, OK 73020-6767.
- What is Ico Primary Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ico Primary Care, LLC is (405) 281-2144.
- Does Ico Primary Care, LLC accept Medicare?
- Ico Primary Care, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ico Primary Care, LLC?
- The authorized official listed on Ico Primary Care, LLC's NPPES record is Kevin Penwell, Cmo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ico Primary Care, LLC's NPI active?
- Yes — Ico Primary Care, LLC's NPI (1568144996) is active in the NPPES registry as of the last update on 2025-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.