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UNITED HOPE MEDICAL
NPI 1003657420
Nurse Practitioner - Family in Indianapolis, IN

Active since June 03, 2024CLIA 15D2301543 · Waiver
6640 PARKDALE PL STE V, INDIANAPOLIS, IN 46254(469) 915-4211(317) 886-8895 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 18, 2024, Jun 3, 2024 (2 updates tracked since 2024).

About United Hope Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNITED HOPE MEDICAL (NPI 1003657420) is a healthcare organization registered as a family in Indianapolis, Indiana and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Al Berry, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1003657420
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameUNITED HOPE HEALTH SERVICES LLC
Location Address6640 PARKDALE PL STE VIndianapolis, IN 46254-5619
Mailing Address6640 Parkdale Pl Ste VIndianapolis, IN 46254-5619 · (469) 915-4211 · Fax (317) 886-8895
Phone(469) 915-4211
Fax(317) 886-8895
Organization SubpartNo
Authorized OfficialAl BerryCredentialing Coordinator · (469) 915-4211
Enumeration DateJune 3, 2024
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1003657420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
6640 PARKDALE PL STE V, Indianapolis, IN 46254
Open in Google Maps ↗

Other Names 1

Doing Business AsUnited Hope Medical

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

United Hope Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to United Hope Medical, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bolaji Ojo
Nurse Practitioner
NPI 1013658038
727 MOON RD
Plainfield, IN 46168
(317) 839-2513
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2301543

United Hope Medical · Indianapolis, IN
Active · expires Mar 26, 2028
CLIA Number15D2301543
Laboratory TypePractitioner Other
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorDamilola Awonusi
Laboratory Phone(317) 886-8910
Laboratory LocationUnited Hope Medical6640 Parkdale Pl Suite V, Indianapolis, IN 46254
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is United Hope Health Services LLC's NPI number?

The NPI number for United Hope Health Services LLC is 1003657420. It was assigned to this organization in the NPPES registry on June 3, 2024. The provider is doing business as United Hope Medical.

Where is United Hope Health Services LLC located?

United Hope Health Services LLC is located at 6640 Parkdale Pl Ste V, Indianapolis, IN 46254. The listed phone number is (469) 915-4211.

What is United Hope Health Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is United Hope Health Services LLC enrolled in Medicare?

Yes. United Hope Health Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through United Hope Health Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to United Hope Health Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does United Hope Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2301543) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for United Hope Health Services LLC was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.