NPIMap

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
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 2

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

Addresses

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

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

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62127GAMDGeriatric Medicine (Internal 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
Emory Specialty Associates, LLC Internal Medicine Past Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine Past Accepting new patients
Decatur Center for Nursing and Healing LLC 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.