Itauma Udosen, DO
NPI 1265793616 · Sports Medicine (Family Medicine) Physician · Lithonia, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Itauma Udosen, DO is a Sports Medicine (Family Medicine) Physician provider in Lithonia, GA (NPI 1265793616).
Provider details
- NPI number
- 1265793616
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 078910 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
300 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 83 | $125 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 46 | $179 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 43 | $132 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 25 | $87 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 22 | $19 |
| Hemoglobin A1c Level83036 | 18 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 77 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 368 | 120 |
| Amlodipine Besylate | 311 | 99 |
| Losartan Potassium | 179 | 51 |
| Metformin Hcl | 100 | 36 |
| Sitagliptin Phosphatebrand: Januvia | 96 | 17 |
| Gabapentin | 95 | 31 |
| Levothyroxine Sodium |
Practice location
Mailing address
Additional practice locations (1)
- 1324 Highway 138 SwRiverdale, GA 30296-1404Phone: (770) 907-4949
Registry dates
- Enumerated
- 2012-06-01
- Last updated
- 2022-07-21
- Certified
- 2020-04-06
Frequently asked questions
- What is Itauma Udosen's NPI number?
- Itauma Udosen's National Provider Identifier (NPI) is 1265793616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Itauma Udosen's specialty?
- Itauma Udosen is listed in the NPPES registry with a primary specialty of Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Itauma Udosen located?
- Itauma Udosen's practice location on file with NPPES is 2745 Dekalb Medical Pkwy Ste 110, Lithonia, GA 30058-4933.
- What is Itauma Udosen's phone number?
- The practice phone number listed in the NPPES registry for Itauma Udosen is (770) 593-2382.
- Does Itauma Udosen accept Medicare?
- Itauma Udosen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Itauma Udosen's NPI active?
- Yes — Itauma Udosen's NPI (1265793616) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.