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UCHECHUKWUKA OSADEBE M.D., PLLC
NPI 1104436021
General Practice in Flushing, NY

Active since August 05, 2020
4142 COLLEGE POINT BLVD STE 2A, FLUSHING, NY 11355(646) 517-4271 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 10, 2025, Nov 7, 2024, Dec 21, 2020 and 2 more (5 updates tracked since 2020).

About Uchechukwuka Osadebe M.d., Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UCHECHUKWUKA OSADEBE M.D., PLLC (NPI 1104436021), doing business as Uche Osadebe M.d., is a healthcare organization registered as a general practice in Flushing, New York and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Brooklyn and lists Uchechukwuka Osadebe, Owner, as its authorized official.

NPPES Registry Identity

NPI1104436021
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameUCHECHUKWUKA OSADEBE M.D., PLLC
Location Address4142 COLLEGE POINT BLVD STE 2AFlushing, NY 11355-4386
Mailing Address3 Somerset Ln Apt 412Edgewater, NJ 07020-2422 · (832) 859-2054 · Fax (888) 920-1521
Phone(646) 517-4271
Organization SubpartNo
Authorized OfficialUchechukwuka OsadebeOwner · (832) 859-2054
Enumeration DateAugust 5, 2020
Last NPPES UpdateFebruary 10, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1104436021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4142 COLLEGE POINT BLVD STE 2A, Flushing, NY 11355
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Other Names 1

Doing Business AsUche Osadebe M.d.

Secondary Practice Location 1

Location 12107 Ditmas AveBrooklyn, NY 11226-6903 · Phone (646) 517-4271

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Uchechukwuka Osadebe M.d., Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Uchechukwuka Osadebe M.D., PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Uchechukwuka Osadebe, MD
General Practice
NPI 1225448996
4142 COLLEGE POINT BLVD STE 2A
Flushing, NY 11355
(646) 517-4271
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Uchechukwuka Osadebe M.D., PLLC's NPI number?

The NPI number for Uchechukwuka Osadebe M.D., PLLC is 1104436021. It was assigned to this organization in the NPPES registry on August 5, 2020. The provider is doing business as Uche Osadebe M.D..

Where is Uchechukwuka Osadebe M.D., PLLC located?

Uchechukwuka Osadebe M.D., PLLC is located at 4142 College Point Blvd Ste 2A, Flushing, NY 11355. The listed phone number is (646) 517-4271.

What is Uchechukwuka Osadebe M.D., PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Uchechukwuka Osadebe M.D., PLLC enrolled in Medicare?

Yes. Uchechukwuka Osadebe M.D., PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Uchechukwuka Osadebe M.D., PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Uchechukwuka Osadebe M.D., PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Uchechukwuka Osadebe M.D., PLLC was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.