Active NPI
Udoeyop Walter Udoeyop, MD
- Internal Medicine Physician
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D93115
- Practice address
- 500 Upper Chesapeake Dr
Bel Air, MD 21014-4324 - Phone
- (443) 643-1500
- Fax
- (443) 643-1505
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36848 | TN | |
| Hospitalist Physician | 208M00000X | 36848 | TN | |
| Hospitalist Physician | 208M00000X | D93115 | MD | |
| Internal Medicine Physician | 207R00000X | D93115 | MD | Primary |
Addresses
Primary practice location
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Mailing address
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00334012 | Other | TN | RR MEDICARE |
| 3877988 | Medicaid | TN | |
| TN0127 | Other | TN | JOHN DEERE HEALTHCARE |
| 4122031 | Other | TN | BCBST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000
660 McHenry Rd
Aberdeen, MD 21001-2682
Phone (443) 843-5000
Hospital & facility affiliations
- Umd Upper Chesapeake Medical Center
- University of Maryland Medical Center
- Medstar Good Samaritan Hospital
- Umd Rehabilitation & Orthopaedic Institute
Merit-based Incentive Payment System (MIPS)
- Final score
- 51.44 of 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 93.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.36 of 100
- Quality
- 80.89
- Improvement activities
- 40
- Cost
- 75.39
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.85 of 100
- Quality
- 61.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36848 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adfinitas Health at Upper Chesapeake, LLC | Hospitalist | Current | Accepting new patients |
| Adfinitas Health at Upper Chesapeake Aberdeen LLC | Hospitalist | Current | Accepting new patients |
| Adfinitas Health at Upper Chesapeake Harford Memorial LLC | Hospitalist | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Upper Chesapeake Medical Services, Inc | Hospitalist | Current | Accepting new patients |
| Upper Chesapeake Medical Center, Inc. | Past | Accepting new patients | |
| Inpatient Medical Services, PC | Hospitalist | Past | Accepting new patients |
Locations
660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500
500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000
501 S Union Ave
Hvre de Grace, MD 21078
Phone (301) 939-2400
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- wamadi879856@direct.umm.edu
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Aberdeen, MD
- NPI 1346941010
-
- Hospitalist Physician
- Bel Air, MD
- NPI 1164134037
-
- Hospitalist Physician
- Havre de Grace, MD
- NPI 1457051724
-
- Hospitalist Physician
- Bel Air, MD
- NPI 1497801419
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
-
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
-
- Hospitalist Physician
- Johnson City, TN
- NPI 1316925191
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1841337805
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1811084718
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
-
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1730166083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UPPER CHESAPEAKE DR",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144324",
"telephone_number": "443-643-1500",
"fax_number": "443-643-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UPPER CHESAPEAKE DR",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144324",
"telephone_number": "443-643-1500",
"fax_number": "443-643-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDOEYOP",
"first_name": "UDOEYOP",
"middle_name": "WALTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "36848",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "36848",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D93115",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D93115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00334012",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3877988",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTHCARE",
"identifier": "TN0127",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "4122031",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.