Jideofor Kenechi Ndulue, MD - Medicare Family Medicine in Aurora, MO

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Jideofor Kenechi Ndulue, MD is a medicare enrolled "Family Medicine" physician in Aurora, Missouri. His current practice location is 500 Porter Ave, Aurora, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 678-7888.

Jideofor Kenechi Ndulue is licensed to practice in Missouri (license number 2023034908) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861021636.

Contact Information

Jideofor Kenechi Ndulue, MD
500 Porter Ave,
Aurora, MO 65605-2365
(417) 678-7888
Not Available

Map and Direction




Physician's Profile

Full NameJideofor Kenechi Ndulue
GenderMale
SpecialityFamily Medicine
Location500 Porter Ave, Aurora, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861021636
  • Provider Enumeration Date: 04/03/2020
  • Last Update Date: 09/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6002236841
  • Enrollment ID: I20230919000203

Medical Identifiers

Medical identifiers for Jideofor Kenechi Ndulue such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861021636NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036171512 (Illinois)Secondary
207Q00000XFamily Medicine 2023034908 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jideofor Kenechi Ndulue allows following entities to bill medicare on his behalf.
Entity NameMercy Hospital Cassville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285676932
PECOS PAC ID: 8820999139
Enrollment ID: O20040120000164
Entity NameMercy St Francis Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023053477
PECOS PAC ID: 7810806643
Enrollment ID: O20040120000229
Entity NameMercy Hospital Aurora
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467543090
PECOS PAC ID: 9436063211
Enrollment ID: O20040727000335
Entity NameSoutheastern Emergency Physicians Of Memphis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105277
PECOS PAC ID: 5395643209
Enrollment ID: O20060711000434
Entity NameMercy St Francis Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1023053477
PECOS PAC ID: 7810806643
Enrollment ID: O20061104000139
Entity NameMercy Hospital Aurora
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1467543090
PECOS PAC ID: 9436063211
Enrollment ID: O20061104000261
Entity NameMercy Hospital Cassville
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1285676932
PECOS PAC ID: 8820999139
Enrollment ID: O20100118000033

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jideofor Kenechi Ndulue is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jideofor Kenechi Ndulue, MD
500 Porter Ave,
Aurora, MO 65605-2365

Ph: (417) 678-7888		Jideofor Kenechi Ndulue, MD
500 Porter Ave,
Aurora, MO 65605-2365

Ph: (417) 678-7888

Reviews and Comments


Family Medicine Doctors in Aurora, MO

Dr. Lisa Denise Roark, MD
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Practice Location: 106 Commerce Drive, Aurora, MO 65605
Phone: 417-269-2400    Fax: 417-269-2410
Dr. Robert Marcus Causey,
Family Medicine
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Practice Location: 550 S Hudson Ave, Aurora, MO 65605
Phone: 417-678-5176    
Dr. Christie J. Hurt, DO
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Practice Location: 550 S Hudson Ave, Aurora, MO 65605
Phone: 417-678-5176    Fax: 417-678-0675
Dr. Kenton L. Stringer, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 500 Porter Ave, Aurora, MO 65605
Phone: 417-678-7888    Fax: 417-678-7858
Bradford P Garner, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 550 S Hudson Ave, Aurora, MO 65605
Phone: 417-678-5176    Fax: 417-678-0675
Dr. J-pia Kim Spruill, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 106 Commerce Dr, Aurora, MO 65605
Phone: 417-269-2400    Fax: 417-269-2410
Paul Berry Andelin, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 203 S Washington Ave Ste A, Aurora, MO 65605
Phone: 417-678-4022    Fax: 417-678-4028

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.