Individual provider Active NPI

Michael C Ukaegbu, MD

  • Internal Medicine Physician
  • Lake City, FL
National Provider Identifier
1427254283
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME117949 Issued in FL
Practice address
221 SW Stonegate Ter Ste 101
Lake City, FL 32024-3463
Phone
(386) 292-7744
NPI assigned
Jun 26, 2007
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44152 KY
Internal Medicine Physician 207R00000X ME117949 FL Primary

Addresses

Primary practice location

221 SW Stonegate Ter Ste 101
Lake City, FL 32024-3463

Mailing address

1465 W US Highway 90
Suite 100
Lake City, FL 32055-6123
Phone (386) 755-2268

Other practice location 1

1465 W US Highway 90
suite 100
Lake City, FL 32055-6123
Phone (386) 755-2268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140801001019 FL Practitioner - Internal Medicine 1052592128 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baya Urgent Care LLCGroup PAC ID 7911124102, 9 clinicians

Practice addresses (Care Compare)

1465 W US Hwy 90
Suite 100
Lake City, FL 32055-6154
Phone (386) 755-2268

4243 SW Cambridge GLN
Lake City, FL 32024-3431
Phone (386) 292-7744

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117949FLMDInternal Medicine Physician
44152KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baya Urgent Care LLC CurrentSince May 26, 2014 Accepting new patients
Baya Clinical Services LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
North Florida Primary Care PLLC Internal Medicine CurrentSince Sep 8, 2020 Accepting new patients

Locations

1465 W US Highway 90
Ste 100
Lake City, FL 32055
Phone (386) 755-2268

221 SW Stonegate Ter
Ste 101
Lake City, FL 32024
Phone (386) 292-7744

4243 SW Cambridge Gln
Lake City, FL 32024
Phone (386) 292-7744

780 SE Baya Dr
Lake City, FL 32025
Phone (386) 719-9952

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22132/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.ukaegbu.1@22132.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1427254283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 W US HIGHWAY 90",
            "address_2": "SUITE 100",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320556123",
            "telephone_number": "386-755-2268",
            "fax_number": "386-466-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SW STONEGATE TER STE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320243463",
            "telephone_number": "386-292-7744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 W US Highway 90",
            "address_2": "suite 100",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320556123",
            "country_code": "US",
            "telephone_number": "386-755-2268",
            "fax_number": "386-466-1923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UKAEGBU",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "44152",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME117949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.