Active NPI
Uchenna Peter Kalu, MD
- Internal Medicine Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 62127
- 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.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
Internal Medicine
-
- Skilled Nursing Facility
- Decatur, GA
- NPI 1972215671
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Stockbridge, GA
- NPI 1396065777
Hospice
-
- Home Health Agency
- Atlanta, GA
- NPI 1891725693
-
- Skilled Nursing Facility
- Decatur, GA
- NPI 1972215671
Nursing home
-
- Home Health Agency
- Marietta, GA
- NPI 1992766273
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
- Centerwell Home Health
- Amicasa Hospice Home Care
- Emory Decatur Hospital
- Decatur Center for Nursing and Healing LLC
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62127 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linduc PC | Internal Medicine | Current | Accepting new patients |
| Linduc PC | Internal Medicine | Current | 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
- https://fhir4.healow.com/fhir/r4/AEGFBD/Endpoint/AEGFBD
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 62127 | GA | |
| Internal Medicine Physician | 207R00000X | 62127 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 734200366B | Medicaid | GA | |
| 734200366A | Medicaid | GA |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.