Utibe John Ndebbio, MBBCH

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E-15668 Issued in AR

Practice address

225 E Washington Ave
Jonesboro, AR 72401-3111

Phone

(870) 207-4100

NPI assigned

Apr 7, 2019

Last updated

Feb 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, MO, KY, IN5 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 5

Specialty

Internal Medicine

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sebastian Physician Services, PLLCGroup PAC ID 5294178448, 41 clinicians

Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

University of Louisville Physicians IncGroup PAC ID 3476725599, 1,438 clinicians

St Bernards Hospital Inc.Group PAC ID 0941105480, 187 clinicians

Amago Inpatient Services LLCGroup PAC ID 7214259704, 21 clinicians

Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Baptist Health Deaconess Medical Group IncGroup PAC ID 6103220330, 241 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
• St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
• UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
• Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093
• Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Sebastian Physician Services, PLLC

  • Hospitalist Physician
  • Fort Smith, AR
  • NPI 1255110110
  Medicare reassignment Care Compare group NPD
• St Bernards Hospital Inc.

  dba St Bernards Medical Center

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1396053096
  Medicare reassignment Care Compare group NPD
• Baptist Health Deaconess Medical Group Inc

  • Internal Medicine Physician
  • Madisonville, KY
  • NPI 1437730942
  Medicare reassignment Care Compare group NPD
• Deaconess Hospital, Inc

  dba Deaconess Care Group

  • Hospitalist Physician
  • Evansville, IN
  • NPI 1427097443

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  Internal Medicine, KY

  Medicare reassignment Care Compare group NPD
• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316
  Medicare reassignment Care Compare group NPD
• Amago Inpatient Services LLC

  • Emergency Medicine Physician
  • Paducah, KY
  • NPI 1174925994
  Medicare reassignment Care Compare group
• St Anthonys Physician Organization Hospitalist Services, L.C.

  dba Mercy Clinic South Hospitalists

  • Hospitalist Physician
  • Saint Louis, MO
  • NPI 1407216336
  Medicare reassignment NPD
• Deaconess Hospital Inc

  dba Deaconess Pulmonary New Hartford

  • Pulmonary Disease Physician
  • Owensboro, KY
  • NPI 1841822327
  Medicare reassignment
• Baptist Health Deaconess Medical Group Inc

  • Physical Therapy Clinic/Center
  • Powderly, KY
  • NPI 1679154132
  NPD
• Baptist Health Deaconess Medical Group Inc

  dba Baptist Health Deaconess Madisonville Hospital Based Providers

  • Hospitalist Physician
  • Madisonville, KY
  • NPI 1972320430

  Internal Medicine

  NPD
• Deaconess Hospital Inc

  • Hospitalist Physician
  • Henderson, KY
  • NPI 1194579672
  NPD

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

• St Bernards Hospital Inc

  dba St Bernards Medical Center

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686
  Care Compare affiliation
• Baptist Health Deaconess Madisonville Inc

  dba Baptist Health Deaconess Madisonville

  • Rural Acute Care Hospital
  • Madisonville, KY
  • NPI 1447231956
  Care Compare affiliation
• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1730264128
  Care Compare affiliation
• Methodist Health, Inc.

  dba Deaconess Henderson Hospital

  • General Acute Care Hospital
  • Henderson, KY
  • NPI 1083759633
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1013784859
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1033752704
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1093341497
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1104469873
  Care Compare affiliation
• Uofl Health-Louisville Inc

  dba UofL Health - Frazier Rehab Institute - Trager

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1114591039
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1124654512
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • Rehabilitation Hospital Unit
  • Louisville, KY
  • NPI 1124661897
  Care Compare affiliation
• Uofl Health-Louisville Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1144856543
  Care Compare affiliation

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1083177133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 LAKE POINTE CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724047194",
            "telephone_number": "832-773-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013111",
            "telephone_number": "870-207-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 W Kingsbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104683904",
            "country_code": "US",
            "telephone_number": "718-584-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Abraham Flexner Way",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402022877",
            "country_code": "US",
            "telephone_number": "502-587-4267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDEBBIO",
        "first_name": "UTIBE",
        "middle_name": "JOHN",
        "credential": "MBBCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-07",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "58726",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-15668",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01094179A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100974300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Deseanta Nathan-Jordon
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• Natural State Physical Therapy PLLC
• NC Counseling Services, PLLC
• NE Arkansas Otolaryngology Facial Surgery P a (Otolaryngology and Facial Surgery Centre)
• Nea Children's Therapy Services
• Nea Clinic Imaging Center
• Nea Divine Intervention Inc
• Nea Electrolysis LLC

• Internal Medicine Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.