1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Internal Medicine
  6. NPI Profile

DR. JERRY AINENE UDUEVBO M.D.
NPI 1740448208
Internal Medicine in Brooklyn, NY

Active since May 30, 2008PECOS EnrolledAccepts Medicare AssignmentCLIA 33D2024930 · Waiver
2503 CHURCH AVE, BROOKLYN, NY 11226(718) 928-7575 Get Directions Write a Review

NPPES record last updated: December 31, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jerry Ainene Uduevbo M.d. NPPES

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

DR. JERRY AINENE UDUEVBO M.D. (NPI 1740448208) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (249063) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 25, 2027, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1740448208
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JERRY AINENE UDUEVBOCredential: M.D.
Location Address2503 CHURCH AVEBrooklyn, NY 11226-4060
Mailing Address2503 Church AveBrooklyn, NY 11226-4060 · (718) 928-7575
Phone(718) 928-7575
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateMay 30, 2008
Last NPPES UpdateDecember 31, 2011
✔ NPI 1740448208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 249063✔ Licensed in NH · 13999
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.
2503 CHURCH AVE, Brooklyn, NY 11226
Open in Google Maps ↗

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. Jerry Ainene Uduevbo M.d. 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 ID7810059797
PECOS Enrollment IDI20081231000377
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 Jerry Uduevbo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jerry Uduevbo, M.D., P.C.
Same address
Clinic/Center
2503 CHURCH AVE
Brooklyn, NY 11226
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1033436365 (718) 427-6160

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2024930

Jerry Uduevbo MD PC D.B.A. New York Medical Clinic · Brooklyn, NY
Active · expires May 25, 2027
CLIA Number33D2024930
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorDr. Jerry Uduevbo
Laboratory Phone(718) 928-7575
Laboratory LocationJerry Uduevbo MD PC D.B.A. New York Medical Clinic2503 Church Ave, Brooklyn, NY 11226
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
116 services56 patients
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.
78 services43 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
47 services47 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
44 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11226 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

JERRY UDUEVBO, M.D., P.C.
Clinic/Center
2503 CHURCH AVE
BROOKLYN, NY 11226
Kings County (718) 427-6160

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 Jerry Uduevbo's NPI number?

The NPI number for Jerry Uduevbo is 1740448208. It was assigned to this individual provider in the NPPES registry on May 30, 2008.

Where is Jerry Uduevbo located?

Jerry Uduevbo practices at 2503 Church Ave, Brooklyn, NY 11226. The listed phone number is (718) 928-7575.

What is Jerry Uduevbo's specialty?

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

Is Jerry Uduevbo enrolled in Medicare?

Yes. Jerry Uduevbo 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 Jerry Uduevbo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Uduevbo reassigns Medicare benefits to Jerry Uduevbo, M.D., P.C. (Brooklyn, 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 Jerry Uduevbo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Jerry Uduevbo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2024930) is associated with this NPI, valid through May 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jerry Uduevbo was last updated on December 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.