Individual provider Active NPI

Igwe Ukoha, M.D.,

  • Nephrology Physician
  • Beverly Hills, CA
National Provider Identifier
1679553291
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A51780 Issued in CA
Practice address
8920 Wilshire Blvd Ste 601
Beverly Hills, CA 90211-1960
Phone
(310) 274-7300
Fax
(310) 274-7301
NPI assigned
Jan 19, 2006
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A51780 CA Primary

Addresses

Primary practice location

8920 Wilshire Blvd Ste 601
Beverly Hills, CA 90211-1960

Mailing address

8920 Wilshire Blvd Ste 601
Beverly Hills, CA 90211-1960
Phone (310) 659-9067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101004000122 CA Practitioner - NephrologyPractitioner - Internal Medicine 3678504073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18829 Belshire Ave
Cerritos, CA 90703-8409

9777 Wilshire Blvd
Suite 512
Beverly Hills, CA 90212-1905

PO Box
Suite 530
Simi Valley, CA 93062-0530

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bernard Salick Nephrology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: iukoha103923@direct.cshs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1679553291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 601",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111960",
            "telephone_number": "310-659-9067",
            "fax_number": "310-659-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 601",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111960",
            "telephone_number": "310-274-7300",
            "fax_number": "310-274-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKOHA",
        "first_name": "IGWE",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A51780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.