Uchendu Azodo, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01070488B Issued in IN

Practice address

1701 S Creasy LN
Lafayette, IN 47905-4972

Phone

(765) 446-4819

Fax

(765) 446-4859

NPI assigned

Aug 1, 2006

Last updated

Mar 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, AZ, IN, GA, MO, NC, VA, IL, TX, FL, PA, NJ, KY, OK, KS, TN16 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 16

Specialty

Diagnostic Radiology

Education

State University of New York at Buffalo School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cal Devon Urgent Care IncGroup PAC ID 6507939204, shared by 2 NPIs, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (60 of 65)

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Medical Imaging Specialist in Inc

  • Multi-Specialty Clinic/Center
  • Gary, IN
  • NPI 1275408577
  Medicare reassignment NPD
• Norton Clark Physician Practices, LLC

  • Internal Medicine Physician
  • Clarksville, IN
  • NPI 1083098651

  FL

  Medicare reassignment NPD
• Allied Mobile Imaging, LLC

  • Body Imaging Physician
  • Phoenix, AZ
  • NPI 1154918811
  Medicare reassignment NPD
• Cal Devon Urgent Care Inc

  • Diagnostic Radiology Physician
  • Morton Grove, IL
  • NPI 1104940618
  Medicare reassignment NPD
• Cal Devon Urgent Care Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Morton Grove, IL
  • NPI 1528229861
  Medicare reassignment NPD
• Diagnostic Imaging Services, LLC

  • Radiology Clinic/Center
  • Hagerstown, MD
  • NPI 1114982808

  FL

  Medicare reassignment NPD
• Dynamic Medical Imaging-Dmi, Inc

  • Radiology Clinic/Center
  • Union, NJ
  • NPI 1528753993
  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  dba AdventHealth Medical Group Radiology

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1073785044
  Medicare reassignment NPD
• Impression Imaging LLC

  • Diagnostic Radiology Physician
  • Tamarac, FL
  • NPI 1780941864
  Medicare reassignment NPD
• Medical Imaging Specialist Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Palos Hills, IL
  • NPI 1699282145

  Diagnostic Radiology

  Medicare reassignment NPD
• Nicholasville Road MRI, LLC

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1740270818
  Medicare reassignment NPD
• Proscan NCH Imaging LLC

  • Diagnostic Radiology Physician
  • Naples, FL
  • NPI 1003406711
  Medicare reassignment NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1780690222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 ST FRANCIS WAY",
            "address_2": "SUITE 215",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054925",
            "telephone_number": "765-446-4819",
            "fax_number": "765-446-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S CREASY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054972",
            "telephone_number": "765-446-4819",
            "fax_number": "765-446-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZODO",
        "first_name": "UCHENDU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01070488B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.

Verify at the official NPI Registry.