Active NPI
Celestine Ukah, MD
- Pain Medicine (Anesthesiology) Physician
- Mount Dora, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME86882
- 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, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81834 | Other | FL | BLUE CROSS BLUE SHIELD |
| 268964200 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- 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 100
- Quality
- 69.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.03
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rest Assured Anesthesia | Current | Accepting new patients | |
| Advantage Care Solutions Inc | Current | Accepting new patients | |
| Tenet Florida Physician Services LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| Villages Anesthesia Associates LLC | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Advantage Care Solutions Inc. | 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.
-
- Home Health Agency
- Lake Mary, FL
- NPI 1467805507
Corporate Officer, W-2 Managing Employee
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.
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
-
- Home Health Agency
- Lake Mary, FL
- NPI 1467805507
-
- Anesthesiology Physician
- Tavares, FL
- NPI 1235572587
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
-
- Anesthesiology Physician
- Summerfield, FL
- NPI 1962663500
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1275658213
-
- Anesthesiology Physician
- Fayetteville, NC
- NPI 1942301494
Pain Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.