Individual provider Active NPI

Ross Adam Udoff, M.D.

  • Otolaryngology Physician
  • Monroe, NC
National Provider Identifier
1508185075
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
390200000X Issued in NC
Practice address
1632 E Roosevelt Blvd
Monroe, NC 28112-4017
Phone
(704) 295-3725
Fax
(704) 295-3737
NPI assigned
May 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 390200000X NC Primary

Addresses

Primary practice location

1632 E Roosevelt Blvd
Monroe, NC 28112-4017

Mailing address

6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000

Other identifiers 4

IdentifierTypeStateIssuer
P01613575OtherNCMEDICARE RAILROAD
9995479OtherAETNA/COVENTRY
NC2366MedicaidSC
19EUHOtherNCBCBSNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rudoff5173@direct.ceenta.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150908000891 NC Practitioner - Otolaryngology 4587970587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical College of Georgia School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Eye Ear Nose and Throat Associates PAGroup PAC ID 0446155451, 181 clinicians

Practice addresses (Care Compare)

1632 E Roosevelt Blvd
Monroe, NC 28112-4017
Phone (704) 295-3725

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Atrium Health Union Hospital, Monroe, NC, CCN 340130
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
390200000XNCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Eye Ear Nose & Throat Associates, PA CurrentSince Jul 13, 2015 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, P.a. Otolaryngology CurrentSince Jul 13, 2015 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, PA Otolaryngology PastSince Apr 13, 2025 Accepting new patients

Locations

6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078

724 Aubrey Bell Dr
Ste 201
Matthews, NC 28105

1632 E Roosevelt Blvd
Monroe, NC 28112
Phone (704) 295-3725

10405 Centrum Pkwy
Pineville, NC 28134
Phone (704) 295-3650

Interoperability endpoints

  • Direct secure messaging: rudoff5173@direct.ceenta.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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1508185075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103256",
            "telephone_number": "704-295-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 E ROOSEVELT BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124017",
            "telephone_number": "704-295-3725",
            "fax_number": "704-295-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDOFF",
        "first_name": "ROSS",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "390200000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01613575",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/COVENTRY",
            "identifier": "9995479",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2366",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "19EUH",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rudoff5173@direct.ceenta.com",
            "affiliation": "N",
            "address_1": "1632 E Roosevelt Blvd",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281124017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.