Ehizode Martin Udevbulu, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

053357 Issued in CT

Practice address

1295 5TH Ave
Apt 16G
New York, NY 10029-3101

Phone

(646) 298-5074

NPI assigned

Dec 12, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, MI, DE, OH, PA, SC, NC, KY, GA9 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 9

Specialty

Critical Care (Intensivists)

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apogee Medical Group South CarolinaGroup PAC ID 8921193020, 69 clinicians

Apogee Medical Group Michigan PCGroup PAC ID 9931347879, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Musc Health Hospice Kershaw Hospice, Lugoff, SC, CCN 421519
• Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026
• Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054
• Musc Medical Center Hospital, Charleston, SC, CCN 420004
• Kershawhealth Hospital, Camden, SC, CCN 420048

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 29)

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: eudevbulu888605@direct.ahn.org
• Direct secure messaging: eudevbulu485604@direct.musc.edu
• Direct secure messaging: ehu9002@direct.nyp.org
• Direct secure messaging: eudevbulu15741@nychhc.direct-ci.com

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.

• Apogee Medical Group South Carolina

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1619028545

  SC

  Medicare reassignment Care Compare group NPD
• Apogee Medical Group, Michigan, PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1053655134

  MI

  Medicare reassignment Care Compare group NPD
• Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1720028772
  Medicare reassignment NPD
• Critical Care Physician of New York PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newburgh, NY
  • NPI 1316293954
  Medicare reassignment NPD
• Downtown Bronx Medical Associates PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bronx, NY
  • NPI 1689618407
  Medicare reassignment NPD
• Huntington Hospital Association

  • Physician Assistant
  • Huntington, NY
  • NPI 1386619385
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  • Orthopaedic Surgery Physician
  • Elmhurst, NY
  • NPI 1609120674
  Medicare reassignment NPD
• Lawrence Medical Associates, PC

  • Internal Medicine Physician
  • Yorktown Heights, NY
  • NPI 1023257441
  Medicare reassignment NPD
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1902822992
  Medicare reassignment NPD
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Internal Medicine

  Medicare reassignment NPD
• Samaritan Hospital of Troy, New York

  • General Acute Care Hospital
  • Troy, NY
  • NPI 1043267727

  Internal Medicine

  Medicare reassignment NPD
• Westchester Medical Center Advanced Physician Services, PC

  • Surgery Physician
  • Valhalla, NY
  • NPI 1912131392
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Marquette General Hospital LLC

  • General Acute Care Hospital
  • Marquette, MI
  • NPI 1568727048
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1073605879
  Care Compare affiliation
• Medical University Hospital Authority

  • Rehabilitation Hospital
  • Orangeburg, SC
  • NPI 1154020147
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1285200105
  Care Compare affiliation
• Medical University Hospital Authority

  • Psychiatric Hospital
  • Camden, SC
  • NPI 1306416680
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Camden, SC
  • NPI 1487220307
  Care Compare affiliation
• Medical University Hospital Authority

  • Inpatient Hospice
  • Lugoff, SC
  • NPI 1558931832
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1558937474
  Care Compare affiliation
• Medical University Hospital Authority

  • Urgent Care Clinic/Center
  • Columbia, SC
  • NPI 1578402764

  Hospital

  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1659435840
  Care Compare affiliation
• Medical University Hospital Authority

  • Psychiatric Hospital
  • Orangeburg, SC
  • NPI 1669171740
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Orangeburg, SC
  • NPI 1710683354
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1477984631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 5TH AVE",
            "address_2": "APT 16G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293101",
            "telephone_number": "646-298-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 5TH AVE",
            "address_2": "APT 16G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293101",
            "telephone_number": "646-298-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDEVBULU",
        "first_name": "EHIZODE",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-12",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "276634",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "053357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unjayla Uddin
• Akuezunkpa Oliaku Ude Welcome, M.D.
• Jayne Goneze Semexant Ude, LMSW
• Sara Udeji
• Robert A Udesky, MD
• Robert Udewitz, PH.D.
• Zachary Branton Udko, LMHC
• Ededet Akpan Udo, MD
• Andrea Lynn Udoff, PH.D.
• Anthony James Udofia

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.

Verify at the official NPI Registry.