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

Q: 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.

Q: What is Uba Udeh's specialty?

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

Q: 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 18 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.

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: September 27, 2026.

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

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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

Medicare Participation & PECOS CMS

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

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.

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)