DR. CRISTAL DAISY KUDIWU M.D.
NPI 1013205533
Hospitalist in Roswell, GA
About Dr. Cristal Daisy Kudiwu M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CRISTAL DAISY KUDIWU M.D. (NPI 1013205533) is an individual hospitalist provider in Roswell, Georgia, licensed in Georgia (071853) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Wellstar Cobb Medical Center, and maintains a secondary practice location in Warner Robins.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Cristal Daisy Kudiwu M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Cristal Kudiwu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 343 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Cobb Medical Center
Acute Care Hospitals · Austell, GAWellstar North Fulton Hospital
Acute Care Hospitals · Roswell, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSWELL, GA 30076
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cristal Kudiwu's NPI number?
The NPI number for Cristal Kudiwu is 1013205533. It was assigned to this individual provider in the NPPES registry on July 18, 2011.
Where is Cristal Kudiwu located?
Cristal Kudiwu practices at 3000 Hospital Blvd Fl 2, Roswell, GA 30076. The listed phone number is (770) 751-2777.
What is Cristal Kudiwu's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Cristal Kudiwu enrolled in Medicare?
Yes. Cristal Kudiwu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Cristal Kudiwu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cristal Kudiwu reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Roswell, GA) and 24 On Physicians, PC (Rome, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cristal Kudiwu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cristal Kudiwu accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Cristal Kudiwu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Cristal Kudiwu affiliated with any hospitals?
According to CMS data, Cristal Kudiwu is affiliated with Wellstar Cobb Medical Center and Wellstar North Fulton Hospital.
When was this NPI record last updated?
The NPPES record for Cristal Kudiwu was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Cristal Daisy Kudiwu, M.D. · NPI 1013205533
Hospitalist physician in Roswell, Georgia. Individual provider, active in the CMS NPPES registry since July 18, 2011.
## Identity
- **NPI:** 1013205533 (Entity type: Individual)
- **Enumerated:** July 18, 2011
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 071853 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3000 HOSPITAL BLVD FL 2, Roswell, GA 30076
- **Phone:** (770) 751-2777 · **Fax:** (770) 751-2773
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wellstar Medical Group, LLC (NPI 1922405729, Roswell, GA); 24 On Physicians, PC (NPI 1912956251, Rome, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** February 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013205533) · Data from the CMS NPPES public registry.