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DR. JUDE J MOMODU M.D.
NPI 1912924549
Family Medicine in Apo, AE

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
UNIT 33100 BOX LANDSTUHL, APO, AE 09180(314) 580-4318 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 30, 2025, Feb 10, 2021, Jun 3, 2020 and 2 more (5 updates tracked since 2018).

About Dr. Jude J Momodu M.d. NPPES

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

DR. JUDE J MOMODU M.D. (NPI 1912924549) is an individual family medicine provider in Apo, AE, licensed in Indiana (01057399A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1912924549
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JUDE J MOMODUCredential: M.D.
Location AddressUNIT 33100 BOX LANDSTUHLApo, AE 09180-3100
Mailing AddressUnit 33100 Box LandstuhlApo, AE 09180-3100 · (314) 580-4318
Phone(314) 580-4318
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 17, 2006
Last NPPES UpdateJune 30, 20255 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1912924549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01057399A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other Identifiers 3

Other15D2052802IN · Clia (cms)
Medicaid300012343IN
Medicaid200432610AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, UnitedHealthcare.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. Jude J Momodu 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 ID5092709154
PECOS Enrollment IDI20040412001145
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 Reassignments

2

Medicare enrollment records show Jude Momodu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Horizon Family Medicine Center LLC
Primary Care
3737 N MERIDIAN ST STE 501
Indianapolis, IN 46208
  • Reassigned Medicare billing, Indiana enrollment
NPI 1295089621 (317) 493-1053
Ivisit Doc Inc
Internal Medicine
7345 WOODLAND DR STE 1
Indianapolis, IN 46278
  • Reassigned Medicare billing, Indiana enrollment
  • 3 clinicians in this Medicare group
NPI 1952979288 (317) 762-4025

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

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.

DR. SARAH JANET RABIE M.D.
Obstetrics & Gynecology
UNIT 33100 BOX LANDSTUHL
APO, AE 09180
(314) 590-4697
DR. RAYMOND LI-MING PHUA PT
Physical Therapist (Orthopedic)
UNIT 33100 BOX LANDSTUHL
APO, AE 09180
(314) 590-4913
TRACY COX LICSW
Social Worker (Clinical)
UNIT 33100 BOX LANDSTUHL
APO, AE 09180
(314) 590-6310
DR. MICHAEL JORGE PHD
Psychologist (Counseling)
UNIT 33100 BOX LANDSTUHL
APO, AE 09180
(314) 590-7920
SAMANTHA OBRIEN
Nurse Practitioner (Family)
UNIT 33100 BOX LANDSTUHL
APO, AE 09180
(314) 590-4913
ERIC ALLEN LEE II MD
Psychiatry & Neurology (Psychiatry)
UNIT 33100 BOX LANDSTUHL
APO, AE 09180
(314) 636-9585
DR. CARMEN GADDINI VAVRA DO
Pediatrics
UNIT 33100 BOX LANDSTUHL
APO, AE 09180
(314) 590-5762
KATHLEEN NICOL LICSW
Counselor (Mental Health)
UNIT 33100 BOX LANDSTUHL
APO, AE 09180
(314) 590-4058

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 Jude Momodu's NPI number?

The NPI number for Jude Momodu is 1912924549. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Jude Momodu located?

Jude Momodu practices at Unit 33100 Box Landstuhl, Apo, AE 09180. The listed phone number is (314) 580-4318.

What is Jude Momodu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jude Momodu enrolled in Medicare?

Yes. Jude Momodu 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 Jude Momodu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jude Momodu reassigns Medicare benefits to 2 organizations: Horizon Family Medicine Center LLC (Indianapolis, IN) and Ivisit Doc Inc (Indianapolis, IN). 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 Jude Momodu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jude Momodu accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Jude Momodu 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.

When was this NPI record last updated?

The NPPES record for Jude Momodu was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.