Individual provider Active NPI

Emmanuel A Ugwuoke, M.D.

  • Psychiatry Physician
  • Bensalem, PA
National Provider Identifier
1124204581
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD432982 Issued in PA
Practice address
3554 Hulmeville Rd Ste 106
Bensalem, PA 19020-4366
Phone
(215) 639-3185
Fax
(215) 639-3184
NPI assigned
Jan 16, 2008
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD432982 PA Primary
Child & Adolescent Psychiatry Physician 2084P0804X MD432982 PA

Addresses

Primary practice location

3554 Hulmeville Rd Ste 106
Bensalem, PA 19020-4366

Mailing address

3554 Hulmeville Rd Ste 106
Bensalem, PA 19020-4366
Phone (215) 639-3185

Other practice location 1

17 Regency Plz
Glen Mills, PA 19342-1000
Phone (215) 639-3185

Other practice location 2

2341 MacDade Blvd
Holmes, PA 19043-1301
Phone (215) 639-3185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101119000928 PA Practitioner - Psychiatry 1658567342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3554 Hulmeville Rd
Suite 106
Bensalem, PA 19020-4366
Phone (215) 639-3185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD432982PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Health Inc. Psychiatry CurrentSince Feb 27, 2018 Accepting new patients
Merakey Childrens Services Past Accepting new patients
Harmony Wellness Group Inc PastSince Aug 15, 2018 Accepting new patients
Northeast Community Mental Health Center, Inc. Past Accepting new patients

Locations

3554 Hulmeville Rd
Ste 106
Bensalem, PA 19020
Phone (215) 639-3185

17 Regency Plz
Glen Mills, PA 19342
Phone (215) 639-3185

2341 Macdade Blvd
Holmes, PA 19043
Phone (215) 639-3185

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1124204581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 HULMEVILLE RD STE 106",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204366",
            "telephone_number": "215-639-3185",
            "fax_number": "215-639-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3554 HULMEVILLE RD STE 106",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204366",
            "telephone_number": "215-639-3185",
            "fax_number": "215-639-3184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Regency Plz",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193421000",
            "country_code": "US",
            "telephone_number": "215-639-3185",
            "fax_number": "215-639-3184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2341 MacDade Blvd",
            "address_purpose": "LOCATION",
            "city": "Holmes",
            "state": "PA",
            "postal_code": "190431301",
            "country_code": "US",
            "telephone_number": "215-639-3185",
            "fax_number": "215-639-3184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGWUOKE",
        "first_name": "EMMANUEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD432982",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD432982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.