Individual provider Active NPI

Blanche B Echikunwoke, MD

  • Gastroenterology Physician
  • Indianapolis, IN
National Provider Identifier
1396313532
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01096276A Issued in IN
Practice address
702 Rotary Cir Ste 225
Indianapolis, IN 46202-5133
Phone
(317) 278-4427
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT223132 PA
Gastroenterology Physician 207RG0100X 01096276A IN Primary

Addresses

Primary practice location

702 Rotary Cir Ste 225
Indianapolis, IN 46202-5133

Mailing address

702 Rotary Cir Ste 225
Indianapolis, IN 46202-5133
Phone (317) 278-4427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710002284 PA Order and Referring Only - GastroenterologyPractitioner - Gastroenterology 6800317678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT223132PAMDInternal Medicine Physician
01096276AINMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albert Einstein Medical Center Past Accepting new patients
Einstein Practice Plan Inc Internal Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1396313532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 ROTARY CIR STE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025133",
            "telephone_number": "317-278-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 ROTARY CIR STE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025133",
            "telephone_number": "317-278-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHIKUNWOKE",
        "first_name": "BLANCHE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT223132",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01096276A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.