DR. LAWRENCE E UDOM MD, MPH, FAAFP
NPI 1659572527
Family Medicine in Dayton, OH
About Dr. Lawrence E Udom Md, Mph, Faafp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LAWRENCE E UDOM MD, MPH, FAAFP (NPI 1659572527) is an individual family medicine provider in Dayton, Ohio, licensed in Ohio (35095926) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Greene Memorial, and maintains a secondary practice location in Cincinnati.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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. Lawrence E Udom Md, Mph, Faafp 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.
Medicare Billing Reassignment
Medicare enrollment records show Lawrence Udom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kettering, OH 45429
- Reassigned Medicare billing, Ohio enrollment
- 364 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 6
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kettering Health Greene Memorial
Acute Care Hospitals · Xenia, OHMiami Valley Hospital
Acute Care Hospitals · Dayton, OHKettering Health Main Campus
Acute Care Hospitals · Kettering, OHKettering Health Dayton
Acute Care Hospitals · Dayton, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Lawrence Udom's NPI number?
The NPI number for Lawrence Udom is 1659572527. It was assigned to this individual provider in the NPPES registry on May 30, 2007.
Where is Lawrence Udom located?
Lawrence Udom practices at 3969 Salem Ave, Dayton, OH 45406. The listed phone number is (937) 281-7040.
What is Lawrence Udom's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lawrence Udom enrolled in Medicare?
Yes. Lawrence Udom 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 Lawrence Udom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Udom reassigns Medicare benefits to Alliance Physicians Inc (Kettering, OH). 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 Lawrence Udom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lawrence Udom accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Lawrence Udom 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 Lawrence Udom affiliated with any hospitals?
According to CMS data, Lawrence Udom is affiliated with Kettering Health Greene Memorial, Miami Valley Hospital, Kettering Health Main Campus and Kettering Health Dayton.
When was this NPI record last updated?
The NPPES record for Lawrence Udom was last updated on May 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Lawrence E Udom, MD, MPH, FAAFP · NPI 1659572527
Family Medicine physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since May 30, 2007.
## Identity
- **NPI:** 1659572527 (Entity type: Individual)
- **Enumerated:** May 30, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35095926 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 3969 SALEM AVE, Dayton, OH 45406-1529
- **Phone:** (937) 281-7040 · **Fax:** (937) 522-7818
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Alliance Physicians Inc (NPI 1578824033, Kettering, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** May 3, 2026
- **Other identifiers:** Medicaid 0051288 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1659572527) · Data from the CMS NPPES public registry.