IDORENYIN EKA-IMO NDEM MD
NPI 1154811958
Surgery - Plastic and Reconstructive Surgery in Atlanta, GA
NPI Status: Active since May 16, 2018
Contact Information
1001 JOHNSON FERRY RD
ATLANTA, GA
ZIP 30342
Phone: (404) 785-7792
- Individual
- Female
- Years of Experience 8
- Surgery
- Plastic and Reconstructive Surgery
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About IDORENYIN NDEM
This page provides the complete NPI Profile along with additional information for Idorenyin Ndem, a provider established in Atlanta, Georgia with a medical specialization in Surgery, focusing in plastic and reconstructive surgery and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1154811958 assigned on May 2018. The practitioner's primary taxonomy code is 2086S0122X with license number 100641 (GA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1154811958
- Provider Name
- IDORENYIN EKA-IMO NDEM MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1001 JOHNSON FERRY RD ATLANTA, GA 30342
- Location Phone
- (404) 785-7792
- Mailing Address
- 975 JOHNSON FERRY RD STE 100 ATLANTA, GA 30342
- Mailing Phone
- (404) 785-7792
- Mailing Fax
- Medical School Name
- OTHER
- Graduation Year
- 2018
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-16-2018
- Last Update Date
- 07-08-2024
- Code Navigator
Location Map
Secondary Locations
- 101 Manning Dr
Chapel Hill, NC 27514
(919) 966-4446
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 100641
- License State
- GA
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | 238506 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
- Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
- Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
- Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
- Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (L) - POS
- Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (N) - POS
- Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (S) - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (H) HSA Eligible - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (L) HSA Eligible - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (N) HSA Eligible - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (S) HSA Eligible - POS
- Blue Connect Copay (PCP) 60/40 $6000 Standardized (L) - POS
- Blue Connect Copay (PCP) 60/40 $6000 Standardized (N) - POS
- Blue Connect Copay (PCP) 60/40 $6000 Standardized (S) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (H) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (L) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (N) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (S) - POS
- Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
- Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
- Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
- Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Idorenyin Ndem is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Idorenyin Ndem is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1759636566
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20251022001566
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for IDORENYIN EKA-IMO NDEM MD
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154811958, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
ATLANTA, GA 30342
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154811958, enumerated as an "individual" on May 16, 2018.
The provider is located at 1001 JOHNSON FERRY RD ATLANTA, GA 30342 and the phone number is (404) 785-7792.
Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana and HMO. Please consult your insurance carrier or call the provider to verify.
