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DR. DEREK F UGWENDUM MD
NPI 1831654086
Internal Medicine in Staten Island, NY

Active since February 01, 2019PECOS Enrolled
355 BARD AVE, DEPT OF MEDICINE, VILLA BUILDING 1ST FLOOR, STATEN ISLAND, NY 10310(718) 818-2419 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Derek F Ugwendum Md NPPES

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

DR. DEREK F UGWENDUM MD (NPI 1831654086) is an individual internal medicine provider in Staten Island, New York, licensed in New York (338610) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1831654086
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DEREK F UGWENDUMCredential: MD
Location Address355 BARD AVE, DEPT OF MEDICINE, VILLA BUILDING 1ST FLOORStaten Island, NY 10310
Mailing Address355 Bard Ave, Department Of Medicine , Villa Building 1st FloorStaten Island, NY 10310-1664 · (718) 818-2419
Phone(718) 818-2419
Sole ProprietorNo
Enumeration DateFebruary 1, 2019
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1831654086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 338610
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.
355 BARD AVE, Staten Island, NY 10310
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Secondary Practice Location 1

Location 1140 Saint Edwards StBrooklyn, NY 11201-3904 · Phone (718) 858-6400

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derek F Ugwendum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10310 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier16 claims32 services$62.12 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier16 claims96 services$25.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. DONNA MARIE LUTZ MSCCC-A
Audiologist-Hearing Aid Fitter
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-2250
ALL ISLAND PHYSICIAN PRACTICE PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-3327
SAINT VINCENT CATHOLIC MEDICAL CENTER
Psychiatric Unit
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-1234
LISA MAHER PA
Physician Assistant
355 BARD AVE, RICHMOND UNIVERSITY MEDICAL CENTER
STATEN ISLAND, NY 10310
Richmond County (718) 818-1117
MRS. ANNA MENZA FNP
Nurse Practitioner (Family)
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-1234
CAROLINE MEURER DA CUNHA
Student in an Organized Health Care Education/Training Program
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-1234
ALLEN CHO
Student in an Organized Health Care Education/Training Program
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
EDWARD ADRIAN M.D.
Emergency Medicine
355 BARD AVE, EMERGENCY DEPT
STATEN ISLAND, NY 10310
Richmond County (718) 818-2055

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 Derek Ugwendum's NPI number?

The NPI number for Derek Ugwendum is 1831654086. It was assigned to this individual provider in the NPPES registry on February 1, 2019.

Where is Derek Ugwendum located?

Derek Ugwendum practices at 355 Bard Ave Dept Of Medicine, Villa Building 1st Floor, Staten Island, NY 10310. The listed phone number is (718) 818-2419.

What is Derek Ugwendum's specialty?

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

Is Derek Ugwendum enrolled in Medicare?

Yes. Derek Ugwendum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derek Ugwendum was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.