Individual provider Active NPI

Uchenna Peter Kalu, MD

  • Internal Medicine Physician
  • Decatur, GA
National Provider Identifier
1841312907
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
62127 Issued in GA
Practice address
2680 Lawrenceville Highway
Suite 202
Decatur, GA 30033-2526
Phone
(470) 250-1418
Fax
(678) 487-8644
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 5

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2680 Lawrenceville Hwy
Suite 202
Decatur, GA 30033-2526
Phone (770) 703-8021

Hospital & facility affiliations

  • Visiting Nurse Health System, Inc Home health agency, Marietta, GA, CCN 117000
  • Centerwell Home Health Home health agency, Atlanta, GA, CCN 117132
  • Amicasa Hospice Home Care Hospice, Decatur, GA, CCN 111707
  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Decatur Center for Nursing and Healing LLC Nursing home, Decatur, GA, CCN 115246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20090909000204 GA Practitioner - Internal Medicine 0042311490 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62127GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Linduc PC Internal Medicine CurrentSince Jun 1, 2011 Accepting new patients
Linduc PC Internal Medicine CurrentSince Jun 1, 2011 Accepting new patients
Decatur Center for Nursing and Healing LLC Past Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine Past Accepting new patients
Emory Specialty Associates, LLC Internal Medicine Past Accepting new patients

Locations

2680 Lawrenceville Hwy
Ste 202
Decatur, GA 30033
Phone (470) 250-1418

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEGFBD/Endpoint/AEGFBD

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 62127 GA
Internal Medicine Physician 207R00000X 62127 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

2680 Lawrenceville Highway
Suite 202
Decatur, GA 30033-2526

Mailing address

2680 Lawrenceville Highway
Suite 202
Decatur, GA 30033-2526
Phone (470) 250-1418

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
734200366BMedicaidGA
734200366AMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 8, 2019.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1841312907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 LAWRENCEVILLE HIGHWAY",
            "address_2": "SUITE 202",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332526",
            "telephone_number": "470-250-1418",
            "fax_number": "678-487-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 LAWRENCEVILLE HIGHWAY",
            "address_2": "SUITE 202",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332526",
            "telephone_number": "470-250-1418",
            "fax_number": "678-487-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALU",
        "first_name": "UCHENNA",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "62127",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "62127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "734200366B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "734200366A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.