JIDEOFOR KENECHI NDULUE MD
NPI 1861021636
Family Medicine in Aurora, MO
About Jideofor Kenechi Ndulue Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIDEOFOR KENECHI NDULUE MD (NPI 1861021636) is an individual family medicine provider in Aurora, Missouri, licensed in Missouri (2023034908) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Hillsboro Area Hospital, and maintains a secondary practice location in O Fallon.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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
Jideofor Kenechi Ndulue 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.
Medicare Billing Reassignments
12Medicare enrollment records show Jideofor Ndulue reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Aurora, MO 65605
- Reassigned Medicare billing, Missouri enrollment
- 171 clinicians in this Medicare group
Cassville, MO 65625
- Reassigned Medicare billing, Missouri enrollment
- 151 clinicians in this Medicare group
Houston, MO 65483
- Reassigned Medicare billing, Missouri enrollment
- 101 clinicians in this Medicare group
Mountain View, MO 65548
- Reassigned Medicare billing, Missouri enrollment
- 126 clinicians in this Medicare group
Waterloo, IL 62298
- Reassigned Medicare billing, Illinois enrollment
- 164 clinicians in this Medicare group
Belleville, IL 62226
- Reassigned Medicare billing, Illinois enrollment
- 982 clinicians in this Medicare group
Alton, IL 62002
- Reassigned Medicare billing, Missouri enrollment
- 343 clinicians in this Medicare group
Highland, IL 62249
- Reassigned Medicare billing, Illinois enrollment
- 48 clinicians in this Medicare group
Gillespie, IL 62033
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1053425124 (Illinois)
- 78 clinicians in this Medicare group
Hillsboro, IL 62049
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1821078213 (Illinois)
- 59 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 3
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hillsboro Area Hospital
Critical Access Hospitals · Hillsboro, ILSt Joseph's Hospital
Critical Access Hospitals · Highland, ILCarlinville Area Hospital
Critical Access Hospitals · Carlinville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65605 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.
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.
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 Jideofor Ndulue's NPI number?
The NPI number for Jideofor Ndulue is 1861021636. It was assigned to this individual provider in the NPPES registry on April 3, 2020.
Where is Jideofor Ndulue located?
Jideofor Ndulue practices at 500 Porter Ave, Aurora, MO 65605. The listed phone number is (417) 678-7888.
What is Jideofor Ndulue's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jideofor Ndulue enrolled in Medicare?
Yes. Jideofor Ndulue 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 Jideofor Ndulue's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jideofor Ndulue reassigns Medicare benefits to 12 organizations: Mercy Hospital Aurora (Aurora, MO), Mercy Hospital Cassville (Cassville, MO), Texas County Memorial Hospital (Houston, MO), Mercy St. Francis Hospital (Mountain View, MO), Southern Illinois Healthcare Foundation Inc (Waterloo, IL) and 7 more organizations, listed in the Medicare section above. 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 Jideofor Ndulue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jideofor Ndulue accept?
Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Jideofor Ndulue 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 Jideofor Ndulue affiliated with any hospitals?
According to CMS data, Jideofor Ndulue is affiliated with Hillsboro Area Hospital, St Joseph's Hospital and Carlinville Area Hospital.
When was this NPI record last updated?
The NPPES record for Jideofor Ndulue was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jideofor Kenechi Ndulue, MD · NPI 1861021636
Family Medicine physician in Aurora, Missouri. Individual provider, active in the CMS NPPES registry since April 3, 2020.
## Identity
- **NPI:** 1861021636 (Entity type: Individual)
- **Enumerated:** April 3, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2023034908 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 PORTER AVE, Aurora, MO 65605-2365
- **Phone:** (417) 678-7888
## 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:** 12 organizations under Medicare reassignment (form CMS-855R): Mercy Hospital Aurora (NPI 1467543090, Aurora, MO); Mercy Hospital Cassville (NPI 1285676932, Cassville, MO); Texas County Memorial Hospital (NPI 1790740363, Houston, MO); Mercy St. Francis Hospital (NPI 1023053477, Mountain View, MO); Southern Illinois Healthcare Foundation Inc (NPI 1821813247, Waterloo, IL); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861021636) · Data from the CMS NPPES public registry.