Individual provider Active NPI

Udoka Odumbu Ikezuagu, MD

  • Internal Medicine Physician
  • Temecula, CA
National Provider Identifier
1275996803
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A158996 Issued in CA
Practice address
31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone
(951) 225-9998
NPI assigned
Mar 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2022-01818 NC
Internal Medicine Physician 207R00000X A158996 CA Primary
Internal Medicine Physician 207R00000X 2022-01818 NC

Addresses

Primary practice location

31700 Temecula Pkwy
Temecula, CA 92592-5896

Mailing address

31938 Temecula Pkwy Ste a
Temecula, CA 92592-6841
Phone (951) 225-9998

Other practice location 1

31938 Temecula Pkwy Ste A402
Temecula, CA 92592-6810
Phone (951) 225-9998

Other practice location 2

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 938-7189

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address uikezuagu1447971@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 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

Enrollment IDStateProvider typePAC IDDetails
I20200130003103 CA Practitioner - Internal MedicinePractitioner - Hospitalist 3870929342 Reassigns benefits to 2 organizations
I20251027002330 NC Practitioner - HospitalistPractitioner - Internal Medicine 3870929342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone (951) 652-2811

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (984) 215-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158996CAMDInternal Medicine Physician
2022-01818NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC Hospitalist CurrentSince Oct 13, 2025 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients
Temecula Valley Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Sep 29, 2020 Accepting new patients
Seven Star Hospital Associates Inc. Hospitalist CurrentSince Apr 1, 2021 Accepting new patients

Locations

890 W Stetson Ave
Ste B
Hemet, CA 92543
Phone (951) 652-2811

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

2138 Veterans Pkwy
Clayton, NC 27520
Phone (919) 585-8000

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

Interoperability endpoints

  • Direct secure messaging: uikezuagu1447971@direct.unc.nchie.net
  • Direct secure messaging: uikezuagu337967@direct.llu.edu

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1275996803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31938 TEMECULA PKWY STE A",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926841",
            "telephone_number": "951-225-9998",
            "fax_number": "951-225-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 TEMECULA PKWY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925896",
            "telephone_number": "951-225-9998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31938 Temecula Pkwy Ste A402",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925926810",
            "country_code": "US",
            "telephone_number": "951-225-9998",
            "fax_number": "951-225-9998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 N Brightleaf Blvd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774407",
            "country_code": "US",
            "telephone_number": "919-938-7189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKEZUAGU",
        "first_name": "UDOKA",
        "middle_name": "ODUMBU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2022-01818",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A158996",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2022-01818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "uikezuagu1447971@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "509 N Brightleaf Blvd",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275774407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.