DR. CRISTAL DAISY KUDIWU (M.D.) – Hospitalist Physician, NPI 1013205533

DR. CRISTAL DAISY KUDIWU (M.D.) is a healthcare provider. based in Marietta, Georgia. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 071853 (GA). The NPI Number for DR. CRISTAL DAISY KUDIWU (M.D.) is 1013205533

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. CRISTAL DAISY KUDIWU (M.D.)
NPI
1013205533
Phone
Not provided
Address
805 SANDY PLAINS RD
Enumeration Date
18 July 2011
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
2002 (24 years ago)
PAC ID
7517187461
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20140929000593
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
ckudiwusangadinguisani290213@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness95
Years active:14State licenses:1Other names

1,281 HOSPITALIST in GA

Provider Addresses for DR. CRISTAL DAISY KUDIWU (M.D.)

  • 805 SANDY PLAINS RD

    MARIETTA, GA 300666340

    Phone:

    Type: Mailing

  • 3000 HOSPITAL BLVD FL 2

    ROSWELL, GA 30076

    Phone: (770) 751-2777

    Fax: (770) 751-2773

    Type: Location

  • 1601 Watson Blvd

    Warner Robins, GA 310933431

    Phone: (478) 322-4946

    Fax: (478) 322-4947

    Type: Location

  • 805 SANDY PLAINS ROAD

    MEDICAL STAFF SERVICES

    MARIETTA, GA 300666340

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-09-29

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
I20140929000593IHospitalistGATBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes239232$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7875$0
View full utilization report →

Insurance plans in this area (ZIP 30066)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Is there an official ID for DR. CRISTAL DAISY KUDIWU (M.D.) in U.S. healthcare records?
The official identifier for DR. CRISTAL DAISY KUDIWU (M.D.) is NPI 1013205533.
Active or inactive — what applies to DR. CRISTAL DAISY KUDIWU (M.D.)?
You should see DR. CRISTAL DAISY KUDIWU (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. CRISTAL DAISY KUDIWU (M.D.)?
DR. CRISTAL DAISY KUDIWU (M.D.) is associated with Hospitalist Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. CRISTAL DAISY KUDIWU (M.D.) associated with Marietta?
Public fields place DR. CRISTAL DAISY KUDIWU (M.D.) around Marietta, Georgia. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. CRISTAL DAISY KUDIWU (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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