DR. EHIZODE MARTIN UDEVBULU MD
NPI 1477984631
Internal Medicine in New York, NY

Active since December 12, 2013PECOS EnrolledAccepts Medicare Assignment
1295 5TH AVE, APT 16G, NEW YORK, NY 10029(646) 298-5074 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Ehizode Martin Udevbulu Md NPPES

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

DR. EHIZODE MARTIN UDEVBULU MD (NPI 1477984631) is an individual internal medicine provider in New York, New York, licensed in Connecticut (053357) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1477984631
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EHIZODE MARTIN UDEVBULUCredential: MD
Location Address1295 5TH AVE, APT 16GNew York, NY 10029-3101
Mailing Address1295 5th Ave, Apt 16gNew York, NY 10029-3101 · (646) 298-5074
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 12, 2013
Last NPPES UpdateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
✔ NPI 1477984631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 053357
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 276634 (NY)
1295 5TH AVE, New York, NY 10029

Accepted Insurance

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. Ehizode Martin Udevbulu 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 ID3678887635
PECOS Enrollment IDI20180110001177, I20240605000727
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 Reassignments

20

Medicare enrollment records show Ehizode Udevbulu reassigns Medicare billing to 20 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Services
234 E 149TH ST, STE 8D200
Bronx, NY 10451
  • Reassigned Medicare billing, New York enrollment
  • 971 clinicians in this Medicare group
Anesthesiology
7901 BROADWAY
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 836 clinicians in this Medicare group
Internal Medicine
374 STOCKHOLM ST
Brooklyn, NY 11237
  • Reassigned Medicare billing, New York enrollment
  • 427 clinicians in this Medicare group
General Acute Care Hospital
1 BROOKDALE PLZ STE 666
Brooklyn, NY 11212
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
Emergency Medicine
55 PALMER AVENUE, DEPARTMENT OF EMERGENCY MEDICINE
Bronxville, NY 10708
  • Reassigned Medicare billing, New York enrollment
  • 531 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Clinic/Center
161 HEMPSTEAD TPKE
Elmont, NY 11003
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Nassau Health Care Corporation
  • 553 clinicians in this Medicare group
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
Skilled Nursing Facility
378 SYOSSET WOODBURY RD
Woodbury, NY 11797
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Huntington Hospital Association
  • 116 clinicians in this Medicare group
Critical Care Medicine
70 DUBOIS ST FL 2
Newburgh, NY 12550
  • Reassigned Medicare billing, New York enrollment
  • 110 clinicians in this Medicare group

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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
194 services89 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
88 services60 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230054
Location850 W Baraga AveMarquette, MI 49855 · Marquette County
Emergency services Birthing friendly

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Kershawhealth

Acute Care Hospitals · Camden, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420048
Location1315 Roberts StreetCamden, SC 29020 · Kershaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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

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

Registered Nurse
1295 5TH AVE
NEW YORK, NY 10029

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 Ehizode Udevbulu's NPI number?

The NPI number for Ehizode Udevbulu is 1477984631. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Where is Ehizode Udevbulu located?

Ehizode Udevbulu practices at 1295 5th Ave Apt 16G, New York, NY 10029. The listed phone number is (646) 298-5074.

What is Ehizode Udevbulu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ehizode Udevbulu enrolled in Medicare?

Yes. Ehizode Udevbulu 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 organizations bill Medicare for Ehizode Udevbulu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ehizode Udevbulu reassigns Medicare benefits to 20 organizations: Downtown Bronx Medical Associates PC (Bronx, NY), Icahn School Of Medicine At Mount Sinai (Elmhurst, NY), Wyckoff Professional Medical Services, PC (Brooklyn, NY), Brookdale Hospital Medical Center (Brooklyn, NY), Lawrence Medical Associates, PC (Bronxville, NY) and 15 more organizations, listed in the Medicare section above. Each 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 Ehizode Udevbulu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ehizode Udevbulu accept?

Health plans from Cigna Healthcare, Oscar Health, Oscar Insurance Company and Priority Health list Ehizode Udevbulu 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 Ehizode Udevbulu affiliated with any hospitals?

According to CMS data, Ehizode Udevbulu is affiliated with Uphs Marquette Dlp Hospital, Musc Medical Center, Musc Health Columbia Medical Center Downtown and Kershawhealth.

When was this NPI record last updated?

The NPPES record for Ehizode Udevbulu was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.