Active NPI
Adaeze Udezue, M.D
- Internal Medicine Physician
- Novato, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C183539
- Practice address
- 101 Rowland Way Ste 200
Novato, CA 94945-5056 - Phone
- (415) 878-7200
- Fax
- (415) 369-1387
- NPI assigned
- Dec 12, 2006
- Last updated
- Nov 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C183539 | CA | Primary |
Addresses
Primary practice location
101 Rowland Way Ste 200
Novato, CA 94945-5056
Mailing address
PO Box 276950
Sacramento, CA 95827-6950
Phone (415) 878-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Rowland Way
Suite 200
Novato, CA 94945-5008
Phone (415) 600-1000
Hospital & facility affiliations
- Sutter Care at Home
- Novato Community Hospital
- Marinhealth Medical Center
- California Pacific Medical Center- Van Ness Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C183539 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Internal Medicine | Current | Accepting new patients |
| Christiana Care Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Delmar Medical Center PA | Internal Medicine | Past | Accepting new patients |
| Genesis Eldercare Physician Services LLC | Internal Medicine | Past | Accepting new patients |
| Sutter East Bay Medical Foundation | Internal Medicine | Past | Accepting new patients |
Locations (25 of 26)
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 200
Novato, CA 94945
Phone (415) 878-7200
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
26351 Patriots Way
Georgetown, DE 19947
Phone (302) 933-3000
726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770
4735 Ogletown Stanton Rd
Ste 1250
Newark, DE 19713
Phone (302) 623-0200
4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188
1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411
Interoperability endpoints
- audezue694580@hisp.ehr.sutterhealth.org
Organizations & group practices 13
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.
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
dba CCHS Hospitalist Partners
- Hospitalist Physician
- Newark, DE
- NPI 1245474329
Internal Medicine
-
dba CCHS Wilm Health Ctr
- Family Medicine Physician
- Wilmington, DE
- NPI 1760811681
Internal Medicine
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- General Practice Physician
- Seaford, DE
- NPI 1245884048
-
dba Palo Alto Medical Foundation
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
dba CCHS Satellite Offices
- Family Medicine Physician
- Hockessin, DE
- NPI 1134104565
Internal Medicine
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Internal Medicine
-
- Internal Medicine Physician
- Seaford, DE
- NPI 1144216490
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
-
dba Sutter Care at Home
- Home Health Agency
- Novato, CA
- NPI 1265461024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1457412736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276950",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958276950",
"telephone_number": "415-878-7200",
"fax_number": "415-369-1387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ROWLAND WAY STE 200",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455056",
"telephone_number": "415-878-7200",
"fax_number": "415-369-1387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDEZUE",
"first_name": "ADAEZE",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C183539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.