DANIEL EFFIONG UKPONG (D.O) – Internal Medicine Physician, NPI 1376805192

DANIEL EFFIONG UKPONG (D.O) is a healthcare provider. based in Chester, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O. They hold a License No. OS017152 (PA). The NPI Number for DANIEL EFFIONG UKPONG (D.O) is 1376805192

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL EFFIONG UKPONG (D.O)
NPI
1376805192
Phone
(610) 619-8590
Address
30 MEDICAL CENTER BLVD
Enumeration Date
8 June 2012
Last Update Date
1 May 2019

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
7707423883
Graduation Year
2012 (14 years ago)
PAC ID
2567683410
Group Practice PAC ID
4082969241
Professional Enrollment ID
I20170908002926
Address ID
GA302742579RI483XXSWXX507
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:14State licenses:3Digital endpointsOther names

9,967 INTERNAL MEDICINE in PA

Provider Addresses for DANIEL EFFIONG UKPONG (D.O)

  • 30 MEDICAL CENTER BLVD

    SUITE 404

    CHESTER, PA 190133955

    Phone: (610) 619-8590

    Fax: (610) 619-8591

    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 5 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-08-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($60).

Total Amount

$105

General + Research + Ownership

Payments

5

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20141020000269IInternal MedicinePATBD
I20170908002926IInternal 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes431102$0
99215Established patient office or other outpatient visit, 40-54 minutes12260$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6565$0
36415Insertion of needle into vein for collection of blood sample1717$0
99205New patient office or other outpatient visit, 60-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 19013)

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

Reviews

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Frequently asked questions

How is DANIEL EFFIONG UKPONG (D.O) identified in CMS data?
CMS-hosted NPPES data lists DANIEL EFFIONG UKPONG (D.O) with NPI 1376805192.
Does the file indicate DANIEL EFFIONG UKPONG (D.O) is practicing under active NPI?
Directory data currently reports DANIEL EFFIONG UKPONG (D.O) as active.
What is DANIEL EFFIONG UKPONG (D.O)'s primary classification?
Internal Medicine Physician is the headline specialty for DANIEL EFFIONG UKPONG (D.O) here. Clinical services aligned with this taxonomy classification.
Where is DANIEL EFFIONG UKPONG (D.O) based?
DANIEL EFFIONG UKPONG (D.O) is tied to Chester, Pennsylvania in the data we show; additional addresses may exist on the full record.
Why does DANIEL EFFIONG UKPONG (D.O) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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