Individual provider Active NPI

Ndem Udoudo Ndem, DPM

  • Foot & Ankle Surgery Podiatrist
  • Columbus, GA
National Provider Identifier
1386697035
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD000872 Issued in GA
Practice address
1911 Warm Springs Rd
Columbus, GA 31904-8030
Phone
(706) 653-5544
Fax
(706) 653-5545
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD000872 GA Primary

Addresses

Primary practice location

1911 Warm Springs Rd
Columbus, GA 31904-8030

Mailing address

1911 Warm Springs Rd
Columbus, GA 31904-8030
Phone (706) 653-5544

Other identifiers 1

IdentifierTypeStateIssuer
000832345AMedicaidGA

Other names 1

  • Dr. Ndem Udoudo Ndem Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041004000354 GA Practitioner - Podiatry 6002875309 Reassigns benefits to 1 organization
Practice locations: Columbus, GA
I20041004000958 AL Practitioner - Podiatry 6002875309 Reassigns benefits to 1 organization
Practice locations: Phenix City, AL
O20100930061578 GA DME Supplier - Physician - Podiatry 1658492756 Practice locations: Columbus, GA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1911 Warm Springs Rd
Columbus, GA 31904-8030
Phone (706) 653-5544

3700 S Railroad St
Suite C
Phenix City, AL 36867-2994
Phone (334) 298-0022

Hospital & facility affiliations

  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue83
Removal of nail tissue993
Removal or shaving of skin growth971
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
872GAMDMarriage & Family Therapist
POD000872GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Ambulatory Surgery Center PC CurrentSince Aug 1, 2007 Accepting new patients
Ndem Ndem Universal Foot & Leg Clinic Foot & Ankle Surgery CurrentSince Mar 6, 2010 Accepting new patients
Phenixfootcare Current Accepting new patients

Locations

3700 S Railroad St
Ste C
Phenix City, AL 36867
Phone (334) 298-0022

1810 Stadium Dr
Ste 120
Phenix City, AL 36867
Phone (334) 291-8291

1911 Warm Springs Rd
Columbus, GA 31904
Phone (706) 562-8328

Organizations & group practices 3

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 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1386697035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048030",
            "telephone_number": "706-653-5544",
            "fax_number": "706-653-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048030",
            "telephone_number": "706-653-5544",
            "fax_number": "706-653-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDEM",
        "first_name": "NDEM",
        "middle_name": "UDOUDO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000832345A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NDEM",
            "last_name": "NDEM",
            "middle_name": "UDOUDO",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.