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DR. EDEDET AKPAN UDO MD
NPI 1457466864
Specialist in New York, NY

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
2597 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10030(212) 234-3433(212) 234-1197 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ededet Akpan Udo Md NPPES

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

DR. EDEDET AKPAN UDO MD (NPI 1457466864) is an individual specialist in New York, New York, licensed in New York (202225) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1457466864
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. EDEDET AKPAN UDOCredential: MD
Location Address2597 FREDERICK DOUGLASS BLVDNew York, NY 10030-2105
Mailing Address2597 Frederick Douglass BlvdNew York, NY 10030-2105 · (212) 234-3433 · Fax (212) 234-1197
Phone(212) 234-3433
Fax(212) 234-1197
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateAugust 19, 2006
Last NPPES UpdateDecember 26, 2012
✔ NPI 1457466864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 202225
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2597 FREDERICK DOUGLASS BLVD, New York, NY 10030
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Other Identifiers 3

Medicare UPINH56174NY
Medicare ID-Type Unspecified01P001NY
Medicaid02075510NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ededet Akpan Udo 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 ID3476540261
PECOS Enrollment IDI20040426000885
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 Ededet Udo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ededet Akpan Udo, MD, PC
Same address
Obstetrics & Gynecology
2601 FREDRICK DOUGLASS BLVD
New York, NY 10030
  • Reassigned Medicare billing, New York enrollment
NPI 1073726907 (212) 234-3433

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services12 patients

Other Providers at the Same Location NPPES

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

STARRETT PODIATRY, LLC
Podiatrist (Foot & Ankle Surgery)
2597 FREDERICK DOUGLASS BLVD
NEW YORK, NY 10030
New York County (212) 510-7160

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 Ededet Udo's NPI number?

The NPI number for Ededet Udo is 1457466864. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Ededet Udo located?

Ededet Udo practices at 2597 Frederick Douglass Blvd, New York, NY 10030. The listed phone number is (212) 234-3433.

What is Ededet Udo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ededet Udo enrolled in Medicare?

Yes. Ededet Udo 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.

Which organization bills Medicare for Ededet Udo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ededet Udo reassigns Medicare benefits to Ededet Akpan Udo, MD, PC (New York, NY). 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 Ededet Udo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ededet Udo was last updated on December 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.