Individual provider Active NPI

Udoeyop Walter Udoeyop, MD

  • Internal Medicine Physician
  • Bel Air, MD
National Provider Identifier
1730166083
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D93115 Issued in MD
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

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00334012OtherTNRR MEDICARE
3877988MedicaidTN
TN0127OtherTNJOHN DEERE HEALTHCARE
4122031OtherTNBCBST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060714000182 TN Practitioner - Internal Medicine 7214940295 Reassigns benefits to 1 organization
I20220222000726 MD Practitioner - Internal MedicinePractitioner - Hospitalist 7214940295 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adfinitas Health at Upper Chesapeake LLCGroup PAC ID 6305202540, 77 clinicians
Adfinitas Health at Upper Chesapeake Aberdeen LLCGroup PAC ID 8022475581, 44 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
51.44 of 100Reported as group
Quality
0
Improvement activities
40
Cost
93.46

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as group
Quality
80.89
Improvement activities
40
Cost
75.39

Merit-based Incentive Payment System (MIPS)

Final score
73.85 of 100Reported as group
Quality
61.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36848TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Adfinitas Health at Upper Chesapeake, LLC Hospitalist CurrentSince Jul 1, 2023 Accepting new patients
Adfinitas Health at Upper Chesapeake Aberdeen LLC Hospitalist CurrentSince Jul 1, 2023 Accepting new patients
Adfinitas Health at Upper Chesapeake Harford Memorial LLC Hospitalist CurrentSince Jul 1, 2023 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Upper Chesapeake Medical Services, Inc Hospitalist CurrentSince Feb 2, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.