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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

UBA CHINYERE UDEH M.D.
NPI 1225652696
Internal Medicine - Pulmonary Disease in Mishawaka, IN

Active since June 02, 2020PECOS Enrolled
611 E DOUGLAS RD STE 309, MISHAWAKA, IN 46545(574) 335-6900(574) 335-0854 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2026, Aug 3, 2021, Sep 3, 2020 and 1 more (4 updates tracked since 2020).

About Uba Chinyere Udeh M.d. NPPES

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

UBA CHINYERE UDEH M.D. (NPI 1225652696) is an individual pulmonary disease provider in Mishawaka, Indiana, licensed in Indiana (01099441A) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225652696
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameUBA CHINYERE UDEHCredential: M.D.
Location Address611 E DOUGLAS RD STE 309Mishawaka, IN 46545-1467
Mailing Address5215 Holy Cross PkwyMishawaka, IN 46545-1469 · (574) 335-8707 · Fax (574) 335-0854
Phone(574) 335-6900
Fax(574) 335-0854
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 2, 2020
Last NPPES UpdateSeptember 16, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1225652696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in IN · 01099441A✔ Licensed in IL · 036165483
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036165483 (IL), MT221170 (PA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036165483 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
611 E DOUGLAS RD STE 309, Mishawaka, IN 46545
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Secondary Practice Location 1

Location 11520 W Harrison St Fl 6Chicago, IL 60607-3106 · Phone (312) 942-5000 · Fax (312) 563-2157

Other Identifiers 1

Medicaid300131332IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Uba Chinyere Udeh M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557724481
PECOS Enrollment IDI20260611001301
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.

Medicare Billing Reassignment

Medicare enrollment records show Uba Udeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Joseph Regional Medical Center, Inc.
6.2 mi
Family Medicine
60101 BODNAR BLVD STE 100B
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 205 clinicians in this Medicare group
NPI 1467406074 (574) 335-8500

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 46545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

SUSAN MARIE DOEPKER NP
Nurse Practitioner (Family)
611 E DOUGLAS RD STE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6232
MOHAMMAD HAIDOUS MD
Internal Medicine (Infectious Disease)
611 E DOUGLAS RD STE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6770
DR. PAUL JOSEPH GUENTERT M.D.
Internal Medicine (Pulmonary Disease)
611 E DOUGLAS RD STE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 246-9350
DONALD ROBERT WESTERHAUSEN III MD
Internal Medicine (Pulmonary Disease)
611 E DOUGLAS RD STE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6900
CAN TALUG MD
Urology
611 E DOUGLAS RD STE 309
MISHAWAKA, IN 46545
St. Joseph County (574) 948-5390

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 Uba Udeh's NPI number?

The NPI number for Uba Udeh is 1225652696. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Uba Udeh located?

Uba Udeh practices at 611 E Douglas Rd Ste 309, Mishawaka, IN 46545. The listed phone number is (574) 335-6900.

What is Uba Udeh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Uba Udeh enrolled in Medicare?

Yes. Uba Udeh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Uba Udeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Uba Udeh reassigns Medicare benefits to Saint Joseph Regional Medical Center, Inc. (Mishawaka, IN). The 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 Uba Udeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Uba Udeh accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Uba Udeh 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 Uba Udeh was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.