DR. UKONU EJIE (MD) – Infectious Disease Physician, NPI 1790761500

DR. UKONU EJIE (MD) is a healthcare provider. based in Daytona beach, Florida. specializing in INTERNAL MEDICINE, INFECTIOUS DISEASE. They hold the professional credentials MD. They hold a License No. ME86706 (FL). The NPI Number for DR. UKONU EJIE (MD) is 1790761500

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. UKONU EJIE (MD)
NPI
1790761500
Phone
(386) 274-1966
Address
104 LACOSTA LN
Enumeration Date
22 December 2005
Last Update Date
7 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862651021
Graduation Year
1991 (35 years ago)
PAC ID
5395759880
Group Practice PAC ID
9032123526
Professional Enrollment ID
I20060207000162
Address ID
FL321748204OR290XXBLVD426
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for DR. UKONU EJIE (MD)

  • 104, Lacosta Lane, Indigo Woods Condominiums, Daytona Beach, Volusia County, Florida, 32114, United States

    SUITE 120

    DAYTONA BEACH, FL 321148159

    Phone: (386) 274-1966

    Fax: (386) 274-1964

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Insmed, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Insmed, Inc.$16
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060207000162IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4,056871$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1,025844$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes665169$0
99214Established patient office or other outpatient visit, 30-39 minutes291164$0
99204New patient office or other outpatient visit, 45-59 minutes4747$0
View full utilization report →

Insurance plans in this area (ZIP 32114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032123526View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineFL
-FL
Infectious DiseaseFL
-FL
Internal Medicine, Infectious Disease, Hospitalist, Internal MedicineFL

Reviews

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Frequently asked questions

Where can patients find DR. UKONU EJIE (MD)'s NPI?
You can confirm DR. UKONU EJIE (MD) with NPI 1790761500; it appears in the national provider directory.
Is DR. UKONU EJIE (MD) active in the national directory?
DR. UKONU EJIE (MD)'s public NPI profile is in an active state.
What kind of provider is DR. UKONU EJIE (MD)?
The page reflects Infectious Disease Physician for DR. UKONU EJIE (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. UKONU EJIE (MD)?
The snapshot lists Daytona Beach, Florida for DR. UKONU EJIE (MD); download NPPES for the complete set.
What if Daytona Beach, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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