NPIMap

Individual provider Active NPI

Andikan Effiong Udoh, M.D.

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1114595071
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
341509 Issued in LA
Practice address
8585 Picardy Avenue
Baton Rouge, LA 70809
Phone
(225) 819-1129
NPI assigned
Jun 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 341509 LA Primary

Addresses

Primary practice location

8585 Picardy Avenue
Baton Rouge, LA 70809

Mailing address

7373 Perkins Rd
Baton Rouge, LA 70808-4373
Phone (225) 246-9790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523003118 LA Practitioner - Internal Medicine 1355744533 Reassigns benefits to 2 organizations

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
Baton Rouge General Physicians IncGroup PAC ID 5193623643, 189 clinicians
Baton Rouge Clinic, a Medical CorporationGroup PAC ID 1254317001, 285 clinicians

Practice addresses (Care Compare)

14105 Hwy 73
Prairieville, LA 70769-3626

3600 Florida St
Baton Rouge, LA 70806-3842
Phone (225) 387-7000

8585 Picardy Ave
Baton Rouge, LA 70809-3679

8585 Picardy Ave
Baton Rouge, LA 70809-3748
Phone (225) 763-4764

8595 Picardy Ave
Baton Rouge, LA 70809-3675

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Baton Rouge, LA, CCN 197437
  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
  • Iberia Medical Center Hospital, New Iberia, LA, CCN 190054
  • Ochsner Medical Center - Baton Rouge Hospital, Baton Rouge, LA, CCN 190202

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Physicians, Inc. CurrentSince May 1, 2025 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Jul 8, 2024 Accepting new patients
Baton Rouge Clinic, a Medical Corporation Internal Medicine CurrentSince Jul 8, 2024 Accepting new patients
Baton Rouge General Physicians, Inc. Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients
Baton Rouge Clinic, a Medical Corporation Past Accepting new patients
Hospital Service District No. 1 of Iberia Parish Past Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients

Locations

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

8595 Picardy Ave
Ste 320
Baton Rouge, LA 70809
Phone (225) 237-1880

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

14105 Highway 73
Ste 100
Prairieville, LA 70769
Phone (225) 402-2600

Interoperability endpoints

  • Direct secure messaging: audoh2235609@direct.casso.us.com

Organizations & group practices 8

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 10

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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1114595071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084373",
            "telephone_number": "225-246-9790",
            "fax_number": "225-246-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVENUE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-819-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDOH",
        "first_name": "ANDIKAN",
        "middle_name": "EFFIONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "341509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.