Cordelia Nkolika Uddoh, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD069007L Issued in PA

Practice address

3212 W Cheltenham Ave
Philadelphia, PA 19150-1003

Phone

(215) 657-5044

Fax

(215) 657-5046

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Ophthalmology

Education

Perelman School of Med at the University of Pennsylvania, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.51 of 100Reported as individual

Quality

95.02

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cuddoh@pvlc.intellechartdirect.net
• Direct secure messaging: cuddoh4034159@direct.trinity-health.org

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.

• Premiervision Laser Center, Inc.

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1699833855
  Medicare reassignment Authorized official
• Namyausa

  • Obstetrics & Gynecology Physician
  • Willow Grove, PA
  • NPI 1669136495

  Ophthalmology

  NPD Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1821179243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 539",
            "address_2": "608 EASTON ROAD SUITE C",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190900539",
            "telephone_number": "215-657-5044",
            "fax_number": "215-657-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 W CHELTENHAM AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501003",
            "telephone_number": "215-657-5044",
            "fax_number": "215-657-5046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 Easton Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Willow Grove",
            "state": "PA",
            "postal_code": "190902526",
            "country_code": "US",
            "telephone_number": "215-657-5044",
            "fax_number": "215-657-5046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDDOH",
        "first_name": "CORDELIA",
        "middle_name": "NKOLIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD069007L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01772773",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "187976YBOQ",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cuddoh@pvlc.intellechartdirect.net",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "608 Easton Rd Ste C",
            "city": "Willow Grove",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190902526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cuddoh@pvlc.intellechartdirect.net",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "affiliationName": "PremierVision Laser Center, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3212 W Cheltenham Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191501003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Domingo Ernesto Uceda, MD
• UCLA David Gerffen
• Ucp of Philadelphia
• Ashlesha Satish Udare, M.B.B.S.,M.D.,D.N.B.
• Syraj Uddin
• James Udell, MD
• Chinedum Udenze-Utah, M.D.
• David S Udis, M.D.
• Mary Udo-Akang
• Pimtong Udomkijkosol

• Ophthalmology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.