Ebuka Udorji, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

341395 Issued in LA

Practice address

1501 Kings Hwy
Shreveport, LA 71103-4228

Phone

(318) 626-4092

NPI assigned

Jul 7, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, OK2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Usacs Observation Medicine Services of Oklahoma, LLCGroup PAC ID 9931562956, 203 clinicians

Central Louisiana Physicians, LLCGroup PAC ID 9335598499, 55 clinicians

Our Lady of the Lake Physician Group LLCGroup PAC ID 4587849781, 637 clinicians

Southwest Louisiana Physicians, LLCGroup PAC ID 7315396355, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Baton Rouge, LA, CCN 197437
• Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
• Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
• Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
• Byrd Regional Hospital Hospital, Leesville, LA, CCN 190164

Merit-based Incentive Payment System (MIPS)

Final score

88.35 of 100Reported as group

Quality

80.15

Promoting interoperability

100

Improvement activities

40

Cost

76.19

Merit-based Incentive Payment System (MIPS)

Final score

85.92 of 100Reported as group

Quality

80.9

Promoting interoperability

100

Improvement activities

40

Cost

72.18

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Central Louisiana Physicians, LLC

  • Internal Medicine Physician
  • Alexandria, LA
  • NPI 1417738675
  Medicare reassignment Care Compare group NPD
• Our Lady of the Lake Physician Group LLC

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1033494943

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Southwest Louisiana Physicians, LLC

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1972384139
  Medicare reassignment Care Compare group NPD
• Usacs Observation Medicine Services of Oklahoma, LLC

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1326739111
  Medicare reassignment Care Compare group NPD
• Lourdes Physician Group LLC

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1437405883
  Medicare reassignment NPD
• Northeast Louisiana Physicians, LLC

  • Internal Medicine Physician
  • Bossier City, LA
  • NPI 1407637671
  Medicare reassignment NPD
• Our Lady of the Lake Physician Group LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Baton Rouge, LA
  • NPI 1235912502
  NPD
• Christus Health Central Louisiana

  • General Acute Care Hospital
  • Alexandria, LA
  • NPI 1639160799
  NPD (past)
• Christus Health Southwestern Louisiana

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1629076468
  NPD (past)
• Our Lady of the Lake Hospital Inc.

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1366436123
  NPD (past)
• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Louisiana, LLC

  • Home Health Agency
  • Baton Rouge, LA
  • NPI 1588612360
  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Pollock, LA
  • NPI 1013037431

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Pineville, LA
  • NPI 1023139458

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Pineville, LA
  • NPI 1093836421

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Provencal, LA
  • NPI 1164687307

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Mansura, LA
  • NPI 1225157050

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Deville, LA
  • NPI 1285755611

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Natchitoches, LA
  • NPI 1356462782

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Glenmora, LA
  • NPI 1376664706

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Jena, LA
  • NPI 1467573899

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Jena, LA
  • NPI 1558482984

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Marthaville, LA
  • NPI 1609031962

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1235700535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-4092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Ambassador Caffery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086917",
            "country_code": "US",
            "telephone_number": "337-470-2605",
            "fax_number": "337-470-4595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Hennessy Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084375",
            "country_code": "US",
            "telephone_number": "225-765-4050",
            "fax_number": "225-765-4046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDORJI",
        "first_name": "EBUKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "341395",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "341395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Wayne Tynes, MD
• Candice Stallone Tyree
• Tys Transportation LLC
• Vesela T Tzoneva-Kamberova, MD
• Emah Eno Uboh, MBBS
• Krystal Ukaegbu, RN, MSN
• Victor Essien Uko, M.D.
• Kristen Ukpaka, PHARM.D.
• Kenneth J Ulicny, MD
• Sarwat Umer, M.D.

• Hospitalist Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Hospitalist Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.