Individual provider Active NPI

Ekene Ifeanyi Okolo

  • Internal Medicine Physician
  • Round Rock, TX
National Provider Identifier
1528372729
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N5920 Issued in TX
Practice address
300 University Blvd
Round Rock, TX 78665-1032
Phone
(512) 509-0100
NPI assigned
Jul 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X N5920 TX
Internal Medicine Physician 207R00000X N5920 TX Primary

Addresses

Primary practice location

300 University Blvd
Round Rock, TX 78665-1032

Mailing address

PO Box 26726
Austin, TX 78755-0726
Phone (512) 407-8686

Other practice location 1

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 593-8441

Other practice location 2

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-1488

Other identifiers 4

IdentifierTypeStateIssuer
217717204MedicaidTX
217717205MedicaidTX
217717202MedicaidTX
217717203MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY, IN, MA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20101220000503 TX Practitioner - Internal MedicinePractitioner - Hospitalist 5395933212 Reassigns benefits to 16 organizations
I20170531001643 KY Practitioner - Internal Medicine 5395933212 Reassigns benefits to 2 organizations
I20190605000275 IN Practitioner - Internal Medicine 5395933212 Reassigns benefits to 4 organizations
I20200106002211 MA Practitioner - Internal Medicine 5395933212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians
Ipc Healthcare Services of Texas PLLCGroup PAC ID 3971824939, 184 clinicians

Practice addresses (Care Compare)

1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-0150

3501 Mills Ave
Austin, TX 78731-6309
Phone (512) 324-1017

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

901 W Ben White Blvd
Austin, TX 78704-6903
Phone (512) 816-7102

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Internal Medicine CurrentSince Dec 15, 2021 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Apr 29, 2019 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist CurrentSince Apr 23, 2018 Accepting new patients
Scott & White Clinic Internal Medicine CurrentSince Dec 15, 2021 Accepting new patients
Comprehensive Hospitalist Services of Texas, PLLC Internal Medicine CurrentSince Apr 23, 2018 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine Current Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Apr 29, 2019 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
McAllen Hospitalist Group, PLLC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine CurrentSince Nov 18, 2019 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist Current Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 1, 2020 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jan 20, 2023 Accepting new patients
Hospitalist Physicians of Indiana, PC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Oct 6, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 1, 2018 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Aug 15, 2014 Accepting new patients
New Albany Hospitalist Group, LLC Hospitalist CurrentSince Oct 1, 2023 Accepting new patients
Quantum Emergency Physicians PA Internal Medicine CurrentSince Nov 11, 2022 Accepting new patients
Ies Hospitalists PLLC Hospitalist CurrentSince Jan 10, 2024 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Apr 29, 2019 Accepting new patients
Lonestar Pat Associates PA Internal Medicine CurrentSince Sep 29, 2020 Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Nov 18, 2019 Accepting new patients
Cogent Healthcare of Kentucky, PSC Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Concord Medical Group PLLC CurrentSince Aug 1, 2018 Accepting new patients
Jefferson Physician Services, PLLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Hni Physician Services of Texas, Inc Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine Current Accepting new patients
St. David'S Healthcare Partnership, L.P., LLP Past Accepting new patients

Locations (25 of 68)

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-1010

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

Interoperability endpoints

  • Direct secure messaging: eokolo553499@direct.sw.org
  • Direct secure messaging: eokolo468797@direct.stlukeshealth.org

Organizations & group practices 35

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.

View all 35

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1528372729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26726",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787550726",
            "telephone_number": "512-407-8686",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UNIVERSITY BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651032",
            "telephone_number": "512-509-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-593-8441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015580",
            "country_code": "US",
            "telephone_number": "903-315-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKOLO",
        "first_name": "EKENE",
        "middle_name": "IFEANYI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-29",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N5920",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N5920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217717204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217717205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217717202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217717203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.