Individual provider Active NPI

Njideka Udochi, MD

  • Family Medicine Physician
  • Columbia, MD
National Provider Identifier
1952580821
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0051897 Issued in MD
Practice address
6310 Stevens Forest Rd
Ste 200
Columbia, MD 21046-2336
Phone
(410) 740-9001
Fax
(410) 313-9664
NPI assigned
Oct 29, 2007
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0051897 MD Primary

Addresses

Primary practice location

6310 Stevens Forest Rd
Ste 200
Columbia, MD 21046-2336

Mailing address

6310 Stevens Forest Rd
Ste 200
Columbia, MD 21046-2336
Phone (410) 740-9001

Other practice location 1

1110 Annapolis Rd
Odenton, MD 21113-1602
Phone (443) 351-3917

Other identifiers 1

IdentifierTypeStateIssuer
685900300MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MDExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20040803001469 MD Practitioner - Family PracticePractitioner - Geriatric Medicine 9234100215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group LLCGroup PAC ID 6507252806, 2 clinicians

Practice addresses (Care Compare)

6310 Stevens Forest Rd
Columbia, MD 21046-1036
Phone (410) 740-9001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group LLC Family Medicine CurrentSince Dec 11, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6310 Stevens Forest Rd
Columbia, MD 21046
Phone (301) 722-6300

6310 Stevens Forest Rd
Ste 110
Columbia, MD 21046
Phone (410) 245-2414

6310 Stevens Forest Rd
Ste 200
Columbia, MD 21046
Phone (410) 245-2414

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1952580821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 STEVENS FOREST RD",
            "address_2": "STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462336",
            "telephone_number": "410-740-9001",
            "fax_number": "410-313-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 STEVENS FOREST RD",
            "address_2": "STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462336",
            "telephone_number": "410-740-9001",
            "fax_number": "410-313-9664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Annapolis Rd",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211131602",
            "country_code": "US",
            "telephone_number": "443-351-3917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDOCHI",
        "first_name": "NJIDEKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0051897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685900300",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1110 Annapolis Rd",
            "city": "Odenton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211131602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.