Individual provider Active NPI

Celestine Ukah, MD

  • Pain Medicine (Anesthesiology) Physician
  • Mount Dora, FL
National Provider Identifier
1245341379
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME86882 Issued in FL
Practice address
9057 Laurel Ridge Dr
Mount Dora, FL 32757-9108
Phone
(352) 267-7547
Fax
(352) 385-0966
NPI assigned
Aug 31, 2006
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME86882 FL Primary

Addresses

Primary practice location

9057 Laurel Ridge Dr
Mount Dora, FL 32757-9108

Mailing address

1878 Mayo Dr
Tavares, FL 32778-4320
Phone (352) 508-5407

Other identifiers 2

IdentifierTypeStateIssuer
81834OtherFLBLUE CROSS BLUE SHIELD
268964200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20031215000934 FL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 6406753789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10900 SE 174TH Place Rd
Summerfield, FL 34491-8984
Phone (352) 245-7427

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
69.32
Promoting interoperability
100
Improvement activities
40
Cost
72.03

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rest Assured Anesthesia CurrentSince Jan 14, 2014 Accepting new patients
Advantage Care Solutions Inc CurrentSince Mar 8, 2021 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Jun 1, 2024 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jun 1, 2024 Accepting new patients
Villages Anesthesia Associates LLC CurrentSince Jun 13, 2008 Accepting new patients
Independent Anesthesia Services PA Past Accepting new patients
Cumberland Anesthesia Associates P a Pain Medicine Past Accepting new patients

Locations

8825 Perimeter Park Blvd
Ste 102
Jacksonville, FL 32216
Phone (904) 399-4004

10900 SE 174th Place Rd
Summerfield, FL 34491
Phone (352) 245-7427

10900 SE 174th Place Rd
Ste D
Summerfield, FL 34491
Phone (352) 245-7427

1878 Mayo Dr
Tavares, FL 32778
Phone (352) 508-5401

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Advantage Care Solutions Inc.Lake Mary, FL, CCN 687094 Home health agency Corporate Officer (25%)
W-2 Managing Employee (100%)
Jun 30, 2016
Jun 30, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1245341379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1878 MAYO DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784320",
            "telephone_number": "352-508-5407",
            "fax_number": "877-535-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9057 LAUREL RIDGE DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327579108",
            "telephone_number": "352-267-7547",
            "fax_number": "352-385-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKAH",
        "first_name": "CELESTINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME86882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81834",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268964200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.