Individual provider Active NPI

Rose Onyinyechi Uradu, MD

  • Addiction Medicine (Family Medicine) Physician
  • Ashland, KY
National Provider Identifier
1326050634
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
40541 Issued in KY
Practice address
3655 Winchester Ave
Ashland, KY 41101-7739
Phone
(606) 393-4632
Fax
(888) 411-4131
NPI assigned
Aug 13, 2006
Last updated
May 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40541 KY
Addiction Medicine (Family Medicine) Physician 207QA0401X 40541 KY Primary

Addresses

Primary practice location

3655 Winchester Ave
Ashland, KY 41101-7739

Mailing address

401 Camden Rd
Huntington, WV 25704-2708
Phone (606) 393-4632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 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
I20061121000533 OH Practitioner - Addiction Medicine 3173521499
I20210616000091 WV Practitioner - Addiction MedicinePractitioner - Family Practice 3173521499 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

State licenses

LicenseStateTypeSpecialty
40541KYMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
House of Grace LLC CurrentSince Feb 5, 2021 Accepting new patients
Ultimate Care Behavioral Health Services Past Accepting new patients
Ashland Hospital Corporation Family Medicine Past Accepting new patients

Locations

401 Camden Rd
Huntington, WV 25704
Phone (304) 429-5594

Organizations & group practices 6

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1326050634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CAMDEN RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257042708",
            "telephone_number": "606-393-4632",
            "fax_number": "888-411-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 WINCHESTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017739",
            "telephone_number": "606-393-4632",
            "fax_number": "888-411-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URADU",
        "first_name": "ROSE",
        "middle_name": "ONYINYECHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "40541",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "40541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.