Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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

Q: 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.

Q: What is Nsisongikanabasi Udoh's specialty?

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

Active since June 11, 2020PECOS Enrolled

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: July 26, 2026.

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

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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

Phone(860) 972-0549

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)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

80 SEYMOUR ST BLDG 502, Hartford, CT 06102

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

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.

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.

MARIE GURULI

Internal Medicine