EHIMEN JUDE OKPOLOA MD
NPI 1689201733
Hospitalist in Warwick, RI

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
79.52/100
CMS Quality Rating
455 TOLL GATE RD, WARWICK, RI 02886(401) 737-7010 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2024, Sep 5, 2024, Jun 15, 2020 and 1 more (4 updates tracked since 2020).

About Ehimen Jude Okpoloa Md NPPES

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

EHIMEN JUDE OKPOLOA MD (NPI 1689201733) is an individual hospitalist provider in Warwick, Rhode Island, licensed in Indiana (01088777A) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689201733
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameEHIMEN JUDE OKPOLOACredential: MD
Location Address455 TOLL GATE RDWarwick, RI 02886-2759
Mailing Address455 Toll Gate RdWarwick, RI 02886-2759
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 26, 2020
Last NPPES UpdateOctober 29, 20254 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
NPI 1689201733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IN · 01088777A
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 58954 (KY)
455 TOLL GATE RD, Warwick, RI 02886

Secondary Practice Locations 2

Location 11701 Senate BlvdIndianapolis, IN 46202-1239 · Phone (317) 948-1310 · Fax (317) 948-0503
Location 2200 Abraham Flexner WayLouisville, KY 40202-2877 · Phone (502) 569-7983

Other Identifiers 1

Medicaid7100911670KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ehimen Jude Okpoloa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698199446
PECOS Enrollment IDI20230616003173, I20240925003815, I20260422000128
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
428 services421 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
103 services53 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
59 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
46 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150115
Location800 W 9th StJasper, IN 47546 · Dubois County
Emergency services Birthing friendly

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability100
Improvement Activities40
Cost50.9

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Nurse Practitioner (Adult Health)
455 TOLL GATE RD
WARWICK, RI 02886
Nurse Practitioner (Family)
455 TOLL GATE RD
WARWICK, RI 02886
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Family Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Anesthesiology
455 TOLL GATE RD
WARWICK, RI 02886

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 Ehimen Okpoloa's NPI number?

The NPI number for Ehimen Okpoloa is 1689201733. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Ehimen Okpoloa located?

Ehimen Okpoloa practices at 455 Toll Gate Rd, Warwick, RI 02886. The listed phone number is (401) 737-7010.

What is Ehimen Okpoloa's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ehimen Okpoloa enrolled in Medicare?

Yes. Ehimen Okpoloa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ehimen Okpoloa accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Ehimen Okpoloa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ehimen Okpoloa affiliated with any hospitals?

According to CMS data, Ehimen Okpoloa is affiliated with Deaconess Hospital Inc, Memorial Hospital And Health Care Center, Baptist Health Hardin, Jewish Hospital & St Mary's Healthcare and Baptist Memorial Hospital Desoto.

When was this NPI record last updated?

The NPPES record for Ehimen Okpoloa was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.