Individual provider Active NPI

Uchechukwuka Osadebe, MD

  • General Practice Physician
  • Flushing, NY
National Provider Identifier
1225448996
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
296042 Issued in NY
Practice address
4142 College Point Blvd Ste 2a
Flushing, NY 11355-4386
Phone
(646) 517-4271
NPI assigned
May 5, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 296042 NY Primary

Addresses

Primary practice location

4142 College Point Blvd Ste 2a
Flushing, NY 11355-4386

Mailing address

3 Somerset LN Apt 412
Edgewater, NJ 07020-2422
Phone (832) 859-2054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20201006000985 NY Practitioner - General Practice 4385063627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Physician PLLCGroup PAC ID 2567617889, 4 clinicians

Practice addresses (Care Compare)

116 E 125TH St
New York, NY 10035-1612
Phone (718) 362-1411

4142 College Point Blvd
Suite 2a
Flushing, NY 11355-4386
Phone (832) 859-2054

Merit-based Incentive Payment System (MIPS)

Final score
97.98 of 100Reported as individual
Quality
95
Improvement activities
40
Cost
66.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Doc. P.C. CurrentSince Feb 1, 2021 Accepting new patients
Wound Physician PLLC CurrentSince Oct 1, 2020 Accepting new patients
Focus Medical Health PLLC Past Accepting new patients

Locations

405 Carlton Ave
Brooklyn, NY 11238
Phone (718) 444-3274

4142 College Point Blvd
Ste 2A
Flushing, NY 11355
Phone (718) 939-6234

116 E 125th St
New York, NY 10035
Phone (212) 395-9000

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1225448996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SOMERSET LN APT 412",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070202422",
            "telephone_number": "832-859-2054",
            "fax_number": "888-920-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 COLLEGE POINT BLVD STE 2A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554386",
            "telephone_number": "646-517-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSADEBE",
        "first_name": "UCHECHUKWUKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "296042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.