NDAUSUNG UDONGWO (MD) – Internal Medicine Physician, NPI 1356970354
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
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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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $1,919 |
| Medical Device Business Services, Inc. | $1,489 |
| PFIZER INC. | $182 |
| Janssen Pharmaceuticals, Inc | $158 |
| Boston Scientific Corporation | $141 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241121003577 | I | Internal Medicine | GA | TBD |
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.
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)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| Internal Medicine | MI | |
| Internal Medicine | GA | |
| Family Practice | GA | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | GA | |
| Internal Medicine, Hospitalist | GA | |
| Internal Medicine, Emergency Medicine | GA | |
| Internal Medicine | PA | |
| Internal Medicine, Nephrology | GA | |
| Internal Medicine | GA |
Reviews
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