Individual provider Active NPI

Uyi-Oghosa Idemudia, MD

  • Internal Medicine Physician
  • Morehead, KY
National Provider Identifier
1629065131
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41633 Issued in KY
Practice address
222 Medical Cir
Morehead, KY 40351-1179
Phone
(606) 783-6500
Fax
(606) 783-6878
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD477800 PA
Hospitalist Physician 208M00000X ME122009 FL
Internal Medicine Physician 207R00000X 41633 KY Primary

Addresses

Primary practice location

222 Medical Cir
Morehead, KY 40351-1179

Mailing address

222 Medical Cir
Morehead, KY 40351-1179
Phone (606) 783-6500

Other practice location 1

1700 S Tamiami Trl
Sarasota, FL 34239-3509
Phone (941) 917-4896

Other practice location 2

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-4000

Other practice location 3

112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 217-4300

Other identifiers 3

IdentifierTypeStateIssuer
41633OtherKYKENTUCKY MEDICAL LICENSE
7100036960MedicaidKY
ME122009OtherFLSTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, MS, PA, NM5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20050901000950 TN Practitioner - Internal Medicine 3173555885 Reassigns benefits to 1 organization
I20080313000402 KY Practitioner - Internal Medicine 3173555885 Reassigns benefits to 2 organizations
I20200406002981 MS Practitioner - Hospitalist 3173555885 Reassigns benefits to 1 organization
I20220526002814 PA Practitioner - Internal Medicine 3173555885 Reassigns benefits to 2 organizations
I20241120001467 NM Practitioner - HospitalistPractitioner - Internal Medicine 3173555885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Practice addresses (Care Compare)

222 Medical Cir
Morehead, KY 40351-1179
Phone (606) 783-6500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME122009FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Inc Current Accepting new patients
St Claire Medical Center, Inc., Internal Medicine CurrentSince May 29, 2025 Accepting new patients
North Mississippi Medical Center, Inc CurrentSince Mar 16, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 15, 2017 Accepting new patients
Upmc Altoona CurrentSince Aug 1, 2023 Accepting new patients
Las Cruces HB Medical Services LLC Hospitalist CurrentSince Oct 1, 2024 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Mar 16, 2020 Accepting new patients
St Claire Medical Center, Inc CurrentSince May 29, 2025 Accepting new patients
Pinnacle Health Hospitalist Services LLC Internal Medicine CurrentSince May 16, 2022 Accepting new patients
West Tennessee Healthcare Hospitalists Inc Hospitalist CurrentSince Aug 1, 2025 Accepting new patients
Nes Arizona Inc CurrentSince Sep 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 15, 2017 Accepting new patients
Upmc Altoona CurrentSince Aug 1, 2023 Accepting new patients
Fayette Physician Network Inc Internal Medicine CurrentSince Aug 28, 2023 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Fayette Physician Network Inc CurrentSince Aug 28, 2023 Accepting new patients
St Claire Medical Center Inc Past Accepting new patients
Firstcare Medical Center, PC Past Accepting new patients

Locations

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

801 Eastern Byp
Richmond, KY 40475
Phone (606) 623-3131

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 3

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1629065131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MEDICAL CIR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511179",
            "telephone_number": "606-783-6500",
            "fax_number": "606-783-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MEDICAL CIR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511179",
            "telephone_number": "606-783-6500",
            "fax_number": "606-783-6878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342393509",
            "country_code": "US",
            "telephone_number": "941-917-4896",
            "fax_number": "941-917-6884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-765-4000",
            "fax_number": "717-765-3669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011720",
            "country_code": "US",
            "telephone_number": "717-217-4300",
            "fax_number": "717-217-4217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDEMUDIA",
        "first_name": "UYI-OGHOSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD477800",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME122009",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "41633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY MEDICAL LICENSE",
            "identifier": "41633",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100036960",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "ME122009",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.