ETEAKAMBA J UDOH MD
NPI 1063612885
Obstetrics & Gynecology in Altus, OK
About Eteakamba J Udoh Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETEAKAMBA J UDOH MD (NPI 1063612885) is an individual obstetrics & gynecology provider in Altus, Oklahoma, licensed in Oklahoma (33569) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Harrisonburg.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 (PECOS)
Eteakamba J Udoh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Eteakamba Udoh reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stillwater, OK 74078
- Reassigned Medicare billing, Oklahoma enrollment
- 171 clinicians in this Medicare group
Mcalester, OK 74501
- Reassigned Medicare billing, Oklahoma enrollment
- Medicare enrollment name: Warren Clinic Inc
- 1,144 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 3,111 clinicians in this Medicare group
Rockingham, VA 22801
- Reassigned Medicare billing, Virginia enrollment
- 369 clinicians in this Medicare group
Midlothian, VA 23114
- Reassigned Medicare billing, Virginia enrollment
- 315 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALTUS, OK 73521
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 Eteakamba Udoh's NPI number?
The NPI number for Eteakamba Udoh is 1063612885. It was assigned to this individual provider in the NPPES registry on July 19, 2007. The provider is also known as Eteakamba John Udoh.
Where is Eteakamba Udoh located?
Eteakamba Udoh practices at 101 S Park Ln, Altus, OK 73521. The listed phone number is (580) 379-6140.
What is Eteakamba Udoh's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Eteakamba Udoh enrolled in Medicare?
Yes. Eteakamba Udoh is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Eteakamba Udoh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eteakamba Udoh reassigns Medicare benefits to 5 organizations: Oklahoma State University (Stillwater, OK), Warren Clinics Inc (Mcalester, OK), Ut Physicians (Houston, TX), Rmh Medical Group LLC (Rockingham, VA) and Obhg Virginia, LLC (Midlothian, VA). 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 Eteakamba Udoh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eteakamba Udoh accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Eteakamba Udoh 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.
When was this NPI record last updated?
The NPPES record for Eteakamba Udoh was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Eteakamba J Udoh, MD · NPI 1063612885
Obstetrics & Gynecology physician in Altus, Oklahoma. Individual provider, active in the CMS NPPES registry since July 19, 2007.
## Identity
- **NPI:** 1063612885 (Entity type: Individual)
- **Enumerated:** July 19, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 33569 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 S PARK LN, Altus, OK 73521
- **Phone:** (580) 379-6140 · **Fax:** (580) 379-6149
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Oklahoma State University (NPI 1700994878, Stillwater, OK); Warren Clinics Inc (NPI 1649204074, Mcalester, OK); Ut Physicians (NPI 1033157821, Houston, TX); Rmh Medical Group LLC (NPI 1669844908, Rockingham, VA); Obhg Virginia, LLC (NPI 1972807394, Midlothian, VA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063612885) · Data from the CMS NPPES public registry.