Daniel Effiong Ukpong, D.O

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

77573 Issued in GA

Practice address

30 Medical Center Blvd
Suite 404
Chester, PA 19013-3955

Phone

(610) 619-8590

Fax

(610) 619-8591

NPI assigned

Jun 8, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, GA2 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

Specialty

Internal Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Covenant Medical Group LLCGroup PAC ID 4082969241, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Macon Home health agency, Macon, GA, CCN 117093
• Pruitthealth Hospice-Macon Hospice, Macon, GA, CCN 111545
• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
• Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
• Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201
• Pruitthealth - Macon Nursing home, Macon, GA, CCN 115288

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.ukpong@vista.gadirect.net
• Direct secure messaging: dukpong56507@direct.emory.org
• FHIR API: https://fhir4.healow.com/fhir/r4/AHHGAA/Endpoint/AHHGAA

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.

• Covenant Medical Group LLC

  • Pulmonary Disease Physician
  • Marietta, GA
  • NPI 1194235853
  Medicare reassignment Care Compare group NPD
• Internal Medicine of Macon Ga LLC

  • Primary Care Clinic/Center
  • Macon, GA
  • NPI 1437815826

  Internal Medicine

  Medicare reassignment NPD Authorized official
• 24 On Physicians, PC

  • Hospitalist Physician
  • Rome, GA
  • NPI 1912956251
  Medicare reassignment NPD
• Cogent Healthcare of Georgia PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1609827823
  Medicare reassignment NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Pennsylvania, P.C.

  • Internal Medicine Physician
  • Somerset, PA
  • NPI 1639464308
  Medicare reassignment
• 24 On Physicians, P.C.

  • Hospitalist Physician
  • Attleboro, MA
  • NPI 1790104511
  NPD
• Emory Specialty Associates, LLC

  • Anesthesiology Physician
  • Lagrange, GA
  • NPI 1407864168

  Internal Medicine

  NPD (past)
• Pruitthealth - Macon, LLC

  • Skilled Nursing Facility
  • Macon, GA
  • NPI 1710934237
  NPD (past)

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

• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Macon, GA
  • NPI 1356399018
  Care Compare affiliation
• Coliseum Medical Center, LLC

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1598719643
  Care Compare affiliation
• Macon Northside Hospital, LLC

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1811940976
  Care Compare affiliation
• Pruitthealth - Macon, LLC

  • Skilled Nursing Facility
  • Macon, GA
  • NPI 1710934237

  Nursing home

  Care Compare affiliation
• Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Macon, GA
  • NPI 1235177205
  Care Compare affiliation
• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1376805192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD",
            "address_2": "SUITE 404",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133955",
            "telephone_number": "610-619-8590",
            "fax_number": "610-619-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD",
            "address_2": "SUITE 404",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133955",
            "telephone_number": "610-619-8590",
            "fax_number": "610-619-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKPONG",
        "first_name": "DANIEL",
        "middle_name": "EFFIONG",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS017152",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT014444",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "77573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Franklin Tuch, M.D.
• Ebony A Tucker, BS
• Erica Turner, M.D.
• Vivian Tyler, AMFT
• Uhs Recovery Foundation Inc
• Dianna Unay
• Unlimited Levels of Home Care LLC
• Marcus Jerome Upshur, BS
• Eric John Urnoski, PHARMD
• Justin Vadino, PHARMD

• Internal Medicine Physician in Chester, PA
• Providers in Chester, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.