Active NPI
Uwadiogbu Odinaka Ejindu, MD
- Pediatrics Physician
- Charlotte, NC
National Provider Identifier
1205029600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 200701360
- Practice address
- 7401 The PLZ
Charlotte, NC 28215 - Phone
- (704) 817-8275
- Fax
- (704) 817-7630
- NPI assigned
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 200701360 | NC | Primary |
Addresses
Primary practice location
7401 The PLZ
Charlotte, NC 28215
Mailing address
7401 The PLZ
Charlotte, NC 28215-1925
Phone (704) 817-8275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5908672 | Medicaid | NC |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7401 The PLZ
Charlotte, NC 28215-2097
Phone (704) 817-8275
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200701360 | NC | MD | Pediatrics Physician |
Interoperability endpoints
- uwadiogbu.ejindu.1@17513.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1588166060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674864000000",
"number": "1205029600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 THE PLZ",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282151925",
"telephone_number": "704-817-8275",
"fax_number": "704-817-7630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 THE PLZ",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28215",
"telephone_number": "704-817-8275",
"fax_number": "704-817-7630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EJINDU",
"first_name": "UWADIOGBU",
"middle_name": "ODINAKA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2023-01-28",
"certification_date": "2023-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "200701360",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5908672",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2023; 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.