Individual provider Active NPI

Chima Austin Ukachi, M.D

  • Family Medicine Physician
  • Opelika, AL
National Provider Identifier
1104034339
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26260 Issued in AL
Practice address
3320 Skyway Dr Ste 807
Opelika, AL 36801-7141
Phone
(334) 539-1770
NPI assigned
May 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 26260 AL
Plastic Surgery Physician 208200000X 26260 AL
Surgery Physician 208600000X 26260 AL
General Practice Physician 208D00000X 26260 AL
Family Medicine Physician 207Q00000X 26260 AL Primary

Addresses

Primary practice location

3320 Skyway Dr Ste 807
Opelika, AL 36801-7141

Mailing address

3320 Skyway Dr Ste 807
Opelika, AL 36801-7141
Phone (334) 539-1770

Other identifiers 1

IdentifierTypeStateIssuer
164430MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120719000078 AL Practitioner - Emergency Medicine 3577729573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3365 Skyway Dr
Suite 100
Auburn, AL 36830-6487
Phone (334) 539-1770

Hospital & facility affiliations

  • The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26260ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Center LLC CurrentSince Jul 15, 2014 Accepting new patients
Signify Health, LLC General Practice CurrentSince May 20, 2024 Accepting new patients
United Florala, Inc Past Accepting new patients

Locations

3365 Skyway Dr
Ste 100
Auburn, AL 36830
Phone (334) 539-1770

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

3320 Skyway Dr
Ste 807
Opelika, AL 36801
Phone (334) 539-1770

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: chima.ukachi.md.1@9631.direct.athenahealth.com
  • FHIR API: https://arrprd.southeasthealth.org/FHIR/api/FHIR/R4/
  • FHIR API: https://api.platform.athenahealth.com/9631/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1104034339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SKYWAY DR STE 807",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017141",
            "telephone_number": "334-539-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SKYWAY DR STE 807",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017141",
            "telephone_number": "334-539-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKACHI",
        "first_name": "CHIMA",
        "middle_name": "AUSTIN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "26260",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AL",
            "license": "26260",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "26260",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "26260",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "26260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164430",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.