Ifeanyi Afam Udezulu, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C1-0007397 Issued in DE

Practice address

1019 Mattlind Way
Milford, DE 19963-5369

Phone

(302) 424-1000

Fax

(866) 662-5282

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

Yes

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 DE

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

Specialty

Internal Medicine

Education

Brody School of Medicine at East Carolina University, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christianacare Homehealth Home health agency, Camden, DE, CCN 087301
• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
• Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: ifeanyi.udezulu.1@4001.direct.athenahealth.com

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.

• Lily Internal Medicine and Associates,LLC

  • Medical Specialty Clinic/Center
  • Milford, DE
  • NPI 1790927945
  Medicare reassignment Authorized official
• Alves Inpatient Services

  • Internal Medicine Physician
  • Dover, DE
  • NPI 1578607842

  Single Specialty

  NPD (past)
• Bingen Inpatient Services

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1851303796

  Single Specialty

  NPD (past)
• Virginia Hospitalists Inc

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1427047562

  Single Specialty

  NPD (past)

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

• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Care Compare affiliation
• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Dover, DE
  • NPI 1467546135
  Care Compare affiliation
• Christiana Care Home Health and Community Services, Inc.

  • Home Health Agency
  • Smyrna, DE
  • NPI 1841293438
  Care Compare affiliation

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1275524944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 FAST LANDING RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013105",
            "telephone_number": "302-632-7610",
            "fax_number": "302-736-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 MATTLIND WAY",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199635369",
            "telephone_number": "302-424-1000",
            "fax_number": "866-662-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDEZULU",
        "first_name": "IFEANYI",
        "middle_name": "AFAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0007397",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101236560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristate Counseling Services
• Bianca Trivits, CCMA
• Jasara Trunzo
• Michael Huu Truong, RPH
• Desirae Tiana Turner
• Danielle Lynn Uibel, DO, MPH
• Ultrasound Express LLC
• Muhammad Umair, MD
• Lance E Underwood, OD
• Alison A Unitis, THERAPIST LPCMH

• Internal Medicine Physician in Milford, DE
• Providers in Milford, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.