NDAUSUNG UDONGWO (MD) – Internal Medicine Physician, NPI 1356970354

NDAUSUNG UDONGWO (MD) is a healthcare provider. based in Riverdale, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 96914 (GA). The NPI Number for NDAUSUNG UDONGWO (MD) is 1356970354

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
NDAUSUNG UDONGWO (MD)
NPI
1356970354
Phone
(770) 742-3883
Address
483 UPPER RIVERDALE RD SW STE F
Enumeration Date
2 April 2020
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7707423883
Graduation Year
2019 (7 years ago)
PAC ID
3577098961
Group Practice PAC ID
4082969241
Professional Enrollment ID
I20241121003577
Address ID
GA302742579RI483XXSWXX507
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

6,887 INTERNAL MEDICINE in NJ

Provider Addresses for NDAUSUNG UDONGWO (MD)

  • 483 UPPER RIVERDALE RD SW STE F

    RIVERDALE, GA 302742579

    Phone: (770) 742-3883

    Fax: (855) 597-8504

    Type: Mailing

  • 1945 STATE ROUTE 33

    NEPTUNE, NJ 077534859

    Phone:

    Type: Mailing

  • 705 JUNIPER ST NE

    ATLANTA, GA 303081307

    Phone: (770) 742-3883

    Fax: (855) 597-8504

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $3,975.

Total Amount is formed as General ($3,975) + Research ($0) + Ownership ($0) = $3,975.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Abbott Laboratories ($1,919).

Total Amount

$3,975

General + Research + Ownership

Payments

43

Total payment records

General Amount

$3,975

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2024-11-21

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
I20241121003577IInternal MedicineGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30274)

Loading plans...

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: 4082969241View full group profile
NameSpecialtyState
Internal MedicineGA
Internal MedicineMI
Internal MedicineGA
Family PracticeGA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseGA
Internal Medicine, HospitalistGA
Internal Medicine, Emergency MedicineGA
Internal MedicinePA
Internal Medicine, NephrologyGA
Internal MedicineGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm NDAUSUNG UDONGWO (MD)'s NPI?
Yes. NDAUSUNG UDONGWO (MD) is listed with NPI 1356970354 in the public NPI dataset.
Is NDAUSUNG UDONGWO (MD) listed as active for patients and plans?
The listing shows NDAUSUNG UDONGWO (MD) as active in the NPI system.
What healthcare role does NDAUSUNG UDONGWO (MD) hold?
Scheduling teams often label NDAUSUNG UDONGWO (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does NDAUSUNG UDONGWO (MD) list a practice location?
Patients near Riverdale, Georgia may find NDAUSUNG UDONGWO (MD) in results; validate coverage separately.
Is the information about NDAUSUNG UDONGWO (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

VARMA S MEKA (M.D.)

Internal Medicine Physician
107, Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30236, United States
NPI: 1366447187

DR. MICHAEL ANGEL DICRISTINA (M.D.)

Internal Medicine Physician
33, Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30274, United States
NPI: 1144226135

MR. RAO S MIKKILINENI (M.D.)

Pulmonary Disease Physician
Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30274, United States
NPI: 1235130808

DR. RICHARD I WRIGHT (MD)

Internal Medicine Physician
483 UPPER RIVERDALE RD SW STE G
NPI: 1770573552

WILLIE M. WINZER MD PC

Internal Medicine Physician
6524, Professional Place, Riverdale, Clayton County, Georgia, 30274, United States
NPI: 1568425551

DR. DEVENDRA R KOGANTI (MD)

Interventional Cardiology Physician
6507, Professional Place, Riverdale, Clayton County, Georgia, 30274, United States
NPI: 1659334829

DR. ELOY EDILBERTO SR. DIAZ (M.D.)

Internal Medicine Physician
3144 NOAHS ARK RD
NPI: 1063461051

REDIET HABTEMARKOS (M.D.)

Hospitalist Physician
11 Upper Riverdale Road
NPI: 1346280914

DR. ANITA BASIL VARKEY (MD)

Internal Medicine Physician
4561 River Rd STE A
NPI: 1265477822