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KENNEDY UGBODU
NPI 1891449856
Nurse Practitioner - Family in Washington, DC

Active since February 09, 2022PECOS EnrolledAccepts Medicare Assignment
39 V ST NE, WASHINGTON, DC 20002(551) 295-8223 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2025, Feb 9, 2022 (2 updates tracked since 2022).

About Kennedy Ugbodu NPPES

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

KENNEDY UGBODU (NPI 1891449856) is an individual family provider in Washington, District Of Columbia, licensed in Maryland (R163225) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1891449856
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKENNEDY UGBODU
Location Address39 V ST NEWashington, DC 20002-1329
Mailing Address2 University Plz Ste 204Hackensack, NJ 07601-6211 · (551) 295-8223
Phone(551) 295-8223
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 9, 2022
Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1891449856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R163225

Secondary Practice Locations 2

Location 1962 Wayne Ave Ste 250Silver Spring, MD 20910-4433 · Phone (551) 295-8223
Location 22012 Tea Island CtOdenton, MD 21113-4001 · Phone (301) 219-4800

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

Kennedy Ugbodu 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 ID9032631262
PECOS Enrollment IDI20250318000740, I20250501003350
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 20002 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLAMIDE ODETOYE DNP, CRNP, FNP-C
Nurse Practitioner (Family)
39 V ST NE
WASHINGTON, DC 20002
District of Columbia (551) 295-8223
BERNADINE IHEDIOHANMA
Nurse Practitioner (Family)
39 V ST NE
WASHINGTON, DC 20002
District of Columbia (551) 295-8223

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 Kennedy Ugbodu's NPI number?

The NPI number for Kennedy Ugbodu is 1891449856. It was assigned to this individual provider in the NPPES registry on February 9, 2022.

Where is Kennedy Ugbodu located?

Kennedy Ugbodu practices at 39 V St NE, Washington, DC 20002. The listed phone number is (551) 295-8223.

What is Kennedy Ugbodu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kennedy Ugbodu enrolled in Medicare?

Yes. Kennedy Ugbodu 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.

When was this NPI record last updated?

The NPPES record for Kennedy Ugbodu was last updated on September 12, 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.