Individual provider Active NPI

Adaeze Udezue, M.D

  • Internal Medicine Physician
  • Novato, CA
National Provider Identifier
1457412736
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C183539 Issued in CA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20110324000027 DE Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1355320573 Reassigns benefits to 6 organizations
I20241014000780 CA Practitioner - Internal Medicine 1355320573 Reassigns benefits to 1 organization

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
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

101 Rowland Way
Suite 200
Novato, CA 94945-5008
Phone (415) 600-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C183539CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2024 Accepting new patients
Christiana Care Health Services, Inc Internal Medicine CurrentSince Mar 1, 2022 Accepting new patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Mar 1, 2022 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2024 Accepting new patients
Signify Health, LLC CurrentSince May 1, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 5, 2020 Accepting new patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Mar 1, 2022 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 1, 2022 Accepting new patients
Delmar Medical Center PA Internal Medicine PastSince Sep 9, 2019 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.