IDORENYIN EKA-IMO NDEM MD
NPI 1154811958
Surgery - Plastic and Reconstructive Surgery in Atlanta, GA

Active since May 16, 2018PECOS EnrolledAccepts Medicare Assignment
1001 JOHNSON FERRY RD, ATLANTA, GA 30342(404) 785-7792 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2024, May 16, 2018 (2 updates tracked since 2018).

About Idorenyin Eka-imo Ndem Md NPPES

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

IDORENYIN EKA-IMO NDEM MD (NPI 1154811958) is an individual plastic and reconstructive surgery provider in Atlanta, Georgia, licensed in Georgia (100641) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and maintains a secondary practice location in Chapel Hill.

NPPES Registry Identity

NPI1154811958
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameIDORENYIN EKA-IMO NDEMCredential: MD
Location Address1001 JOHNSON FERRY RDAtlanta, GA 30342-1605
Mailing Address975 Johnson Ferry Rd Ste 100Atlanta, GA 30342-1618 · (404) 785-7792 · Fax (919) 966-3814
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 16, 2018
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
NPI 1154811958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in GA · 100641
Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 238506 (NC)
1001 JOHNSON FERRY RD, Atlanta, GA 30342

Secondary Practice Location 1

Location 1101 Manning DrChapel Hill, NC 27514-4220 · Phone (919) 966-4446 · Fax (919) 966-3814

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Idorenyin Eka-imo Ndem Md 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.

PECOS PAC ID1759636566
PECOS Enrollment IDI20251022001566
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Physician Assistant
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Nurse Practitioner (Pediatrics)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Emergency Medicine (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Neurological Surgery
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Pediatrics (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD
ATLANTA, GA 30342
Anesthesiologist Assistant
1001 JOHNSON FERRY RD, SCOTTISH RITE DEPT OF ANES
ATLANTA, GA 30342
Internal Medicine (Cardiovascular Disease)
1001 JOHNSON FERRY RD, 1532 TULANE AVENUE
ATLANTA, GA 30342

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 Idorenyin Ndem's NPI number?

The NPI number for Idorenyin Ndem is 1154811958. It was assigned to this individual provider in the NPPES registry on May 16, 2018.

Where is Idorenyin Ndem located?

Idorenyin Ndem practices at 1001 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 785-7792.

What is Idorenyin Ndem's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Idorenyin Ndem enrolled in Medicare?

Yes. Idorenyin Ndem 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.

What insurance does Idorenyin Ndem accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Idorenyin Ndem 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 Idorenyin Ndem affiliated with any hospitals?

According to CMS data, Idorenyin Ndem is affiliated with Ochsner Medical Center Acute.

When was this NPI record last updated?

The NPPES record for Idorenyin Ndem was last updated on July 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.