Individual provider Active NPI

Ehimen Jude Okpoloa, MD

  • Hospitalist Physician
  • Warwick, RI
National Provider Identifier
1689201733
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
01088777A Issued in IN
Practice address
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone
(401) 737-7010
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 58954 KY
Hospitalist Physician 208M00000X 01088777A IN Primary

Addresses

Primary practice location

455 Toll Gate Rd
Warwick, RI 02886-2759

Mailing address

455 Toll Gate Rd
Warwick, RI 02886-2759

Other practice location 1

200 Abraham Flexner Way
Louisville, KY 40202-2877
Phone (502) 569-7983

Other practice location 2

1701 Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 948-1310

Other identifiers 1

IdentifierTypeStateIssuer
7100911670MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eokpoloa@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, MS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230616003173 IN Practitioner - Internal MedicinePractitioner - Hospitalist 5698199446 Reassigns benefits to 4 organizations
I20240925003815 KY Practitioner - Internal Medicine 5698199446 Reassigns benefits to 3 organizations
I20260422000128 MS Practitioner - Internal Medicine 5698199446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Louisville Physicians IncGroup PAC ID 3476725599, 1,438 clinicians
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians
Greenbrook Physician Services, LLCGroup PAC ID 5597267427, 70 clinicians

Practice addresses (Care Compare)

1850 Bluegrass Ave
Louisville, KY 40215-1161
Phone (502) 367-3360

1903 W Hebron LN
Shepherdsville, KY 40165-7425
Phone (502) 852-5341

340 Starlite Dr
Henderson, KY 42420-6102
Phone (812) 471-4611

571 S Floyd St
Louisville, KY 40202-3818
Phone (502) 629-2398

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7299

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians of Indiana, PC Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Deaconess Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
Baptist Health Deaconess Medical Group Inc Internal Medicine Current Accepting new patients
University of Louisville Physicians, Inc. Internal Medicine Current Accepting new patients
Deaconess Hospital, Inc Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
New Albany Hospitalist Group, LLC Hospitalist CurrentSince Oct 1, 2023 Accepting new patients
University Family Physicians, Inc. Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
University of Louisville Physicians Inc. Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Dec 10, 2024 Accepting new patients
University Family Physicians, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Baptist Health Deaconess Medical Group Inc Internal Medicine CurrentSince Dec 10, 2024 Accepting new patients
Deaconess Hospital, Inc Internal Medicine CurrentSince Dec 21, 2025 Accepting new patients
Uofl Health-Louisville Inc Past Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

7752 Solution Ctr
Chicago, IL 60677

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

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

7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2999

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

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

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

340 Starlite Dr
Henderson, KY 42420
Phone (270) 212-3070

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

Organizations & group practices 16

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 16

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1689201733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-737-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Abraham Flexner Way",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402022877",
            "country_code": "US",
            "telephone_number": "502-569-7983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "317-948-1310",
            "fax_number": "317-948-0503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKPOLOA",
        "first_name": "EHIMEN",
        "middle_name": "JUDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "58954",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01088777A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100911670",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eokpoloa@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.