NSISONGIKANABASI MFON UDOH MD
NPI 1487279824
Family Medicine in Hartford, CT

Active since June 11, 2020PECOS EnrolledAccepts Medicare Assignment
80 SEYMOUR ST BLDG 502, HARTFORD, CT 06102(860) 972-0549(860) 545-5221 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 22, 2026, Nov 14, 2023, Jun 11, 2020 (3 updates tracked since 2020).

About Nsisongikanabasi Mfon Udoh Md NPPES

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

NSISONGIKANABASI MFON UDOH MD (NPI 1487279824) is an individual family medicine provider in Hartford, Connecticut, licensed in Connecticut (76284) 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 (2018).

NPPES Registry Identity

NPI1487279824
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNSISONGIKANABASI MFON UDOHCredential: MD
Location Address80 SEYMOUR ST BLDG 502Hartford, CT 06102-8000
Mailing Address6425 S Lowe Ave Apt 513Chicago, IL 60621-2726 · (773) 251-3585
Fax(860) 545-5221
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 11, 2020
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1487279824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 76284
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 76284 (CT)
80 SEYMOUR ST BLDG 502, Hartford, CT 06102

Secondary Practice Location 1

Location 17531 S Stony Island AveChicago, IL 60649-3954 · Phone (773) 947-7500

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

Nsisongikanabasi Mfon Udoh 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 ID1658729082
PECOS Enrollment IDI20231127000655
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

3

Medicare enrollment records show Nsisongikanabasi Udoh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
Surgery
1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 747 clinicians in this Medicare group
Internal Medicine
1952 WHITNEY AVE
Hamden, CT 06517
  • Reassigned Medicare billing, Connecticut enrollment
  • 32 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

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.

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.
320 services313 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06102 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 20

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

Physician Assistant
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102
Nurse Practitioner (Acute Care)
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102
Internal Medicine
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102
Physician Assistant
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102
Family Medicine
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102
Nurse Practitioner
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102
Physician Assistant (Medical)
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102
Internal Medicine
80 SEYMOUR ST BLDG 502
HARTFORD, CT 06102

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 Nsisongikanabasi Udoh's NPI number?

The NPI number for Nsisongikanabasi Udoh is 1487279824. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Nsisongikanabasi Udoh located?

Nsisongikanabasi Udoh practices at 80 Seymour St Bldg 502, Hartford, CT 06102. The listed phone number is (860) 972-0549.

What is Nsisongikanabasi Udoh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nsisongikanabasi Udoh enrolled in Medicare?

Yes. Nsisongikanabasi Udoh 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 Nsisongikanabasi Udoh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nsisongikanabasi Udoh reassigns Medicare benefits to 3 organizations: Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT), Hartford Healthcare Medical Group, Inc (Wethersfield, CT) and Margaret Chustecka Internal Medicine Of Greater New Haven (Hamden, CT). 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 Nsisongikanabasi Udoh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nsisongikanabasi Udoh accept?

Health plans from Anthem Blue Cross and Blue Shield list Nsisongikanabasi Udoh 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 Nsisongikanabasi Udoh was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.