Individual provider Active NPI

Nancy Obi Udah, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1750074100
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11023835 Issued in FL
Practice address
8950 N Kendall Dr Ste 600W
Miami, FL 33176-2139
Phone
(786) 204-4204
Fax
(786) 591-6131
NPI assigned
May 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11023835 FL Primary

Addresses

Primary practice location

8950 N Kendall Dr Ste 600W
Miami, FL 33176-2139

Mailing address

PO Box 198054
Atlanta, GA 30384-8054
Phone (786) 204-4204

Other practice location 1

4300 Alton Rd
Suite 2070
Miami Beach, FL 33140-2948
Phone (305) 439-8613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230809002540 FL Practitioner - Nurse Practitioner 5991167819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians

Practice addresses (Care Compare)

8950 N Kendall Dr
Suite 600W
Miami, FL 33176-2144
Phone (786) 596-1230

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
70.29
Promoting interoperability
100
Improvement activities
40
Cost
73.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11023835FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Medical Center Cardiology LLC CurrentSince May 22, 2023 Accepting new patients
Baptist Health Medical Group Physicians LLC CurrentSince Dec 16, 2024 Accepting new patients
Baptist Outpatient Services Inc PastSince Nov 24, 2024 Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

8950 N Kendall Dr
Ste 600W
Miami, FL 33176
Phone (786) 204-4204

4300 Alton Rd
Ste 2070
Miami Beach, FL 33140
Phone (305) 674-2609

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
  • Direct secure messaging: nudah90510@direct.msmc.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1750074100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848054",
            "telephone_number": "786-204-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR STE 600W",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762139",
            "telephone_number": "786-204-4204",
            "fax_number": "786-591-6131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Alton Rd",
            "address_2": "Suite 2070",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402948",
            "country_code": "US",
            "telephone_number": "305-439-8613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDAH",
        "first_name": "NANCY",
        "middle_name": "OBI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11023835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.