Active NPI
Alexander Egwuatu J Ukoh, MD
- Surgery Physician
- Riverdale, MD
National Provider Identifier
1396735262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0048077
- Practice address
- 4404 Queensbury Rd
Riverdale, MD 20737-1068 - Phone
- (301) 927-1800
- Fax
- (301) 927-4020
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0048077 | MD | Primary |
Addresses
Primary practice location
4404 Queensbury Rd
Riverdale, MD 20737-1068
Mailing address
4404 Queensbury Rd
Riverdale, MD 20737-1068
Phone (301) 927-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0048077 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hemorrhoid Relief Center of Virginia, Inc. | Past | Accepting new patients | |
| Atlantic General Hospital Corporation | Surgery | Past | Accepting new patients |
| Atlantic Immedicare LLC | Past | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Past | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- General Practice Physician
- Ocean City, MD
- NPI 1518199223
-
- Geriatric Medicine (Internal Medicine) Physician
- Towson, MD
- NPI 1699280511
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1588690135
-
- Gastroenterology Physician
- Fairfax, VA
- NPI 1861517963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1396735262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4404 QUEENSBURY RD",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371068",
"telephone_number": "301-927-1800",
"fax_number": "301-927-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4404 QUEENSBURY RD",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371068",
"telephone_number": "301-927-1800",
"fax_number": "301-927-4020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UKOH",
"first_name": "ALEXANDER",
"middle_name": "EGWUATU J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0048077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.