Benjamin Chigbo Udoh, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2009-01732 Issued in NC

Practice address

2620 Owen Dr
Fayetteville, NC 28306-2933

Phone

(910) 860-0017

Fax

(910) 860-0015

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Internal Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Hanora Medical Center, PLLC

  • Internal Medicine Physician
  • Fayetteville, NC
  • NPI 1184928848
  Medicare reassignment NPD Authorized official
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD
• DHHS PHS Naihs Fort Defiance Hospital

  • General Acute Care Hospital
  • Fort Defiance, AZ
  • NPI 1700962131
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1154438455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88033",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283048033",
            "telephone_number": "910-860-0017",
            "fax_number": "910-860-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062933",
            "telephone_number": "910-860-0017",
            "fax_number": "910-860-0015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283062933",
            "country_code": "US",
            "telephone_number": "910-860-0017",
            "fax_number": "910-860-0015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDOH",
        "first_name": "BENJAMIN",
        "middle_name": "CHIGBO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2009-01732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913279",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyrek'S Heavenly Angels
• Xaviana Tyson
• U.S. Healthworks Medical Group of North Carolina, PC
• Daniel Chidi Uba, MD/INTERNAL MEDICINE
• Alexander Uche Jr., MD
• Michelle Ugboaja, PHARMD
• Terri Ullmann
• Adam Ulrich
• Ultra Imaging, LLC
• Tiffany Joyce Ulu

• Internal Medicine Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.